Management of acute pain in patients on treatment with opioids

The use of opioids for both benign and cancer-related chronic pain has increased exponentially over the last few years. For this reason, increasing numbers of such patients are presenting for surgery. It is known that continuous use of opioids is associated with an increase in postoperative analgesi...

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Bibliographic Details
Published in:Pain management (London) 2015-05, Vol.5 (3), p.167-173
Main Authors: De Andres, Jose, Fabregat-Cid, Gustavo, Asensio-Samper, Juan Marcos, Sanchis-Lopez, Nerea, Moliner-Velazquez, Susana
Format: Article
Language:English
Subjects:
acute pain
Care and treatment
chronic opioids
Dosage and administration
Innovations
opioid tolerance
opioid-induced hyperalgesia
Opioids
pain
Pain management
Postoperative pain
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Summary:The use of opioids for both benign and cancer-related chronic pain has increased exponentially over the last few years. For this reason, increasing numbers of such patients are presenting for surgery. It is known that continuous use of opioids is associated with an increase in postoperative analgesic requirements. This is believed to be mediated by the development of tolerance and opioid-induced hyperalgesia. Patients treated with opioids have special needs in the perioperative setting and it is the anesthesiologist's responsibility to manage these needs optimally. The aim of the present paper is to briefly orient the reader in the management of postoperative pain in patients chronically treated with licit opioids.
ISSN:1758-1869
1758-1877
DOI:10.2217/pmt.15.13