The rising tide of opioid use and abuse: the role of the anesthesiologist.
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Opioid use has risen dramatically in the past three decades. In the USA, opioid overdose has become a leading cause of unintentional death, surpassing motor vehicle accidents. A patient's first exposure to opioids may be during the perioperative period, a time where anesthesiologists have a significant role in pain management. Almost all patients in the USA receive opioids during a surgical encounter. Opioids have many undesirable side effects, including potential for misuse, or opioid use disorder. Anesthesiologists and surgeons employ several methods to decrease unnecessary opioid use, opioid-related adverse events, and side effects in the perioperative period. Multimodal analgesia, enhanced recovery pathways, and regional anesthesia are key tools as we work towards optimal opioid stewardship and the ideal of effective analgesia without undesirable sequelae.
SubjectEnhanced recovery pathways
Published Version (Please cite this version)10.1186/s13741-018-0097-4
Publication InfoMiller, Timothy; Koepke, Elena J; Manning, Erin L; Ganesh, Arun; Williams, David GA; & Manning, Michael W (2018). The rising tide of opioid use and abuse: the role of the anesthesiologist. Perioperative medicine (London, England), 7. pp. 16. 10.1186/s13741-018-0097-4. Retrieved from https://hdl.handle.net/10161/17249.
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Assistant Professor of Anesthesiology
Associate Professor of Anesthesiology
Clinical and research interests are Enhanced Recovery and Perioperative Medicine; with particular interests in fluid management, and perioperative optimization of the high-risk non-cardiac surgery patient.
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