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Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing
Joseph T Labrum1, Asif M Ilyas2
11 Vanderbilt University Medical Center, Nashville, TN, USA.
Hand (New York, N.Y.)
|July 13, 2018
Summary
Hand surgeons can manage perioperative pain effectively while reducing opioid risks by adopting tailored strategies. This approach supports faster recovery and safer opioid prescribing practices.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Public Health
Background:
- Perioperative pain management in hand and upper extremity surgery faces challenges due to accelerated recovery goals and ambulatory care trends.
- The opioid epidemic exacerbates these challenges, necessitating a reevaluation of prescription practices.
- Hand surgeons must address the public health crisis by optimizing opioid distribution.
Purpose of the Study:
- To review current opioid prescribing patterns in orthopedic upper extremity surgery.
- To discuss recent developments and strategies for effective perioperative analgesia.
- To minimize opioid diversion, misuse, and abuse.
Main Methods:
- Literature review of current opioid prescribing patterns.
- Analysis of recent developments in pain management.
- Identification of treatment strategies for perioperative analgesia.
Main Results:
- Current opioid prescribing patterns are outlined.
- Recent developments and treatment strategies are presented.
- Methods to maintain effective analgesia while minimizing opioid risks are discussed.
Conclusions:
- Hand surgeons should implement strategies for patient-specific postoperative analgesic regimens.
- Optimizing opioid use is crucial in the context of the ongoing opioid epidemic.
- Adapting clinical practices can lead to safer and more effective pain management.
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