Citation

Gross JL, Perate AR, Elkassabany NM. Anesthesiol. Clin. 2019; 37(1): 79-91.

Affiliation

Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USA. Electronic address: Nabil.Elkassabany@uphs.upenn.edu.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.anclin.2018.09.010

PMID

30711235

Abstract

It is imperative to find the balance between pain control and addressing the opioid epidemic. Opioids, although effective in the acute pain management, have multiple side effects and can lead to dependence, abuse, overdose, or death. Physicians should identify patients who abuse opioids, using their states' prescription drug-monitoring programs and use screening tools to identify patients at increased risk of developing opioid dependence. Multimodal analgesic plans, incorporating regional techniques, and nonopioid medications should be employed to reduce the amount of opioids received by patients.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

Keywords

Adult trauma; Multimodal pain analgesia; Opioid crisis; Opioids; Pain management; Pediatric trauma