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Patients on Buprenorphine Formulations Undergoing Surgery
Katelynn Champagne1, Preshita Date1, Juan Pablo Forero2
1Department of Anesthesiology, Montefiore Medical Center, 111 East 210th St, Bronx, NY, 10467, USA.
Current Pain and Headache Reports
|April 23, 2022
Summary
Buprenorphine should be continued during all surgeries. While minimal pain surgeries require no dose adjustment, moderate to severe pain management with buprenorphine remains debated, emphasizing multimodal analgesia.
Area of Science:
- Anesthesiology
- Pharmacology
- Pain Management
Background:
- Buprenorphine is an effective analgesic with a complex pharmacology.
- Understanding its perioperative management is crucial for patient care.
- Dosing recommendations have evolved, necessitating updated guidance.
Purpose of the Study:
- To review buprenorphine pharmacology.
- To examine the evolution of buprenorphine dosing recommendations.
- To synthesize current literature on perioperative buprenorphine use.
Main Methods:
- Literature review of pharmacology and dosing.
- Analysis of current evidence for perioperative buprenorphine.
- Synthesis of consensus and debated recommendations.
Main Results:
- Consensus exists to continue buprenorphine for all surgeries.
- No dose adjustment is needed for minimal to mild pain surgeries.
- No clear consensus on dose adjustment for moderate to severe pain.
Conclusions:
- Continue buprenorphine perioperatively for all patients.
- Utilize multimodal analgesia and regional anesthesia when possible.
- Emphasize patient-provider communication for safe perioperative analgesia.
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