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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 7/2019

01-07-2019 | Opioids | Other Pain (A Kaye and N Vadivelu, Section Editors)

Comprehensive Perioperative Management Considerations in Patients Taking Methadone

Authors: Elyse M. Cornett, Ryan J. Kline, Spencer L. Robichaux, Jeremy B. Green, Boris C. Anyama, Sonja A. Gennuso, Eva C. Okereke, Alan D. Kaye

Published in: Current Pain and Headache Reports | Issue 7/2019

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Abstract

Purpose of Review

Well-informed staff can help decrease risks and common misconceptions regarding opioid-tolerant patients, especially those taking methadone.

Recent Findings

In 2015, opioid pain relievers were the second most used drug at 3.8 million. Overdose death was three times greater in 2015 than in 2000. Medication-assisted treatment was sought by more than 2 million individuals with substance use disorder, one of which is methadone.

Summary

Chronic pain affects millions of adults in the USA. Opioid therapy is widely used among these adults. Related to the risk of abuse and dependence, guidelines suggest that opioid therapy may not be considered first-line treatment. A multidisciplinary approach, including thorough preoperative evaluation, the utilization of multimodal pain management strategies, and opioid-sparing techniques in both the intraoperative and postoperative periods will allow for the best possible outcome.
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Metadata
Title
Comprehensive Perioperative Management Considerations in Patients Taking Methadone
Authors
Elyse M. Cornett
Ryan J. Kline
Spencer L. Robichaux
Jeremy B. Green
Boris C. Anyama
Sonja A. Gennuso
Eva C. Okereke
Alan D. Kaye
Publication date
01-07-2019
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 7/2019
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-019-0783-z

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