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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Perioperative Management of Patients on Medication for Opioid Use Disorder Undergoing Ambulatory Surgery: Clinical
Brenda Beck1, Kelly Lebak2, Olabisi Lane3
1Department of Anesthesiology and Pain Medicine, Pain and Healing Center, The MetroHealth Medical System, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Abstract:
The opioid epidemic has fueled the rise of opioid use disorder (OUD), which has led to greater use of medication for opioid use disorder (MOUD), including buprenorphine, methadone, and naltrexone. The rise in ambulatory surgical procedures increases the likelihood of encountering a patient on MOUD and presents unique challenges for ambulatory anesthesiologists. Perioperative management of patients with OUD should ensure rapid recovery and effective analgesia, all while minimizing opioid-related complications. An emphasis on multimodal analgesia, enhanced recovery protocols, and close outpatient follow-up with the MOUD prescriber is crucial.
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