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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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01-12-2009 | Continuing Professional Development

Perioperative pain management in the patient treated with opioids: Continuing Professional Development

Authors: Philippe Richebé, MD, PhD, Pierre Beaulieu, MD, PhD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 12/2009

Abstract

Purpose

The objective of this continuing professional development module is to describe the perioperative anesthesia and pain management of patients taking opioids because of chronic pain or drug addiction.

Principal findings

The number of patients under opioid treatment is increasing. Pain management is problematic in these patients, because regular opioid intake is associated with mechanisms of tolerance and dependence. More recently, opioid-induced hyperalgesia phenomena have been brought to light. As a rule, the usual opioid dose should be administered with the appropriate conversions, and additional requirements should be anticipated because of the surgical procedure. Local and regional anesthesia, and multimodal analgesia are indicated whenever possible. For the patient addicted to heroin or other opioids, the perioperative period is not a suitable time to initiate weaning.

Conclusion

The physiological and pharmacological changes caused by chronic opioid intake must be understood in order to provide optimal pain management with respect to each individual and the type of procedure.

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Title: Perioperative pain management in the patient treated with opioids: Continuing Professional Development
Authors: Philippe Richebé, MD, PhD
Pierre Beaulieu, MD, PhD
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 12/2009
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-009-9202-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perioperative pain management in the patient treated with opioids: Continuing Professional Development

Abstract

Purpose

Principal findings

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Principal findings

Conclusion

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