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Postoperative opioid prescribing: Getting it RIGHTT.

Brian K Yorkgitis1, Gabriel A Brat2

  • 1University of Florida College of Medicine- Jacksonville Division of Acute Care Surgery, 655 W. 8th Street, Jacksonville, FL 32209, USA.

American Journal of Surgery
|February 19, 2018
PubMed
Summary
This summary is machine-generated.

Surgeons can reduce opioid misuse with the RIGHTT approach, a simple mnemonic for managing post-surgical pain medication. This strategy aids in identifying risks, planning care, and safely disposing of unused opioid prescriptions.

Keywords:
Non-opioid pain adjunctsOpioid educationOpioid misuseOpioid prescribingPostoperative pain

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Area of Science:

  • Pain Management
  • Surgical Oncology
  • Public Health

Background:

  • Prescription opioids contribute significantly to overdose fatalities.
  • Unused post-surgical opioid prescriptions pose risks of diversion and misuse.
  • Surgeons require enhanced tools to guide opioid prescribing behavior.

Purpose of the Study:

  • To develop a memorable framework for postoperative opioid prescribing.
  • To provide surgeons with practical strategies for managing opioid medications after surgery.

Main Methods:

  • Systematic review of English-language literature on postoperative opioid prescribing.
  • Development of a mnemonic-based approach for clinical application.

Main Results:

  • The RIGHTT acronym (Risk for adverse event, Insight into pain, Going over pain plan, Halting opioids, Tossing unused opioids, Trouble identification) was developed.
  • This framework integrates best practices for minimizing opioid misuse.
  • RIGHTT offers surgeons a simple tool for managing post-surgical opioid use.

Conclusions:

  • Effective management of post-surgical opioids is crucial for patient safety and public health.
  • The RIGHTT mnemonic provides a practical, evidence-based approach for surgeons.
  • Implementing strategies to decrease opioid prescribing risks is essential.