Perioperative Pain Management and Opioid Stewardship: A Practical Guide
| العنوان: | Perioperative Pain Management and Opioid Stewardship: A Practical Guide |
|---|---|
| المؤلفون: | Michael J. Howkins, Sara J. Hyland, William R. Vincent, Robert K. Cleary, Kara K Brockhaus, Michelle M. Lucki, Nicole Z. Spence |
| المصدر: | Healthcare, Vol 9, Iss 333, p 333 (2021) Healthcare |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, perioperative care, Leadership and Management, Postoperative pain, Analgesic, lcsh:Medicine, Health Informatics, Review, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, 030202 anesthesiology, Medicine, perioperative medication management, multimodal analgesia, 030212 general & internal medicine, Intensive care medicine, Modalities, business.industry, Health Policy, lcsh:R, transitions of care, Perioperative, opioid-related adverse effects, Pain management, opioid stewardship, Opioid, pain management, Perioperative care, preemptive analgesia, Stewardship, business, postoperative pain, regional anesthesia, medicine.drug |
| الوصف: | Surgical procedures are key drivers of pain development and opioid utilization globally. Various organizations have generated guidance on postoperative pain management, enhanced recovery strategies, multimodal analgesic and anesthetic techniques, and postoperative opioid prescribing. Still, comprehensive integration of these recommendations into standard practice at the institutional level remains elusive, and persistent postoperative pain and opioid use pose significant societal burdens. The multitude of guidance publications, many different healthcare providers involved in executing them, evolution of surgical technique, and complexities of perioperative care transitions all represent challenges to process improvement. This review seeks to summarize and integrate key recommendations into a “roadmap” for institutional adoption of perioperative analgesic and opioid optimization strategies. We present a brief review of applicable statistics and definitions as impetus for prioritizing both analgesia and opioid exposure in surgical quality improvement. We then review recommended modalities at each phase of perioperative care. We showcase the value of interprofessional collaboration in implementing and sustaining perioperative performance measures related to pain management and analgesic exposure, including those from the patient perspective. Surgery centers across the globe should adopt an integrated, collaborative approach to the twin goals of optimal pain management and opioid stewardship across the care continuum. |
| اللغة: | English |
| تدمد: | 2227-9032 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e666ce1d3d250b1ea79714e65db2fb15 https://www.mdpi.com/2227-9032/9/3/333 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e666ce1d3d250b1ea79714e65db2fb15 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22279032 |
|---|