Opioid-Sparing Pain Management in Upper Extremity Surgery: Part 1: Role of the Surgeon and Anesthesiologist.
Anesthesia and analgesia
opioid-sparing pain management
upper extremity surgery
Journal
The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
21
12
2018
accepted:
27
01
2019
pubmed:
30
4
2019
medline:
21
10
2020
entrez:
30
4
2019
Statut:
ppublish
Résumé
A multimodal pain management strategy combines complementary medications and techniques, targeting unique pathways, to improve overall analgesic effect and reduce opioid requirements. In this 2-part review, we examine the literature identifying nonopioid analgesic modalities and their targets in the pain pathway as well as anesthetic techniques found to be opioid-sparing in the practice of upper extremity surgery. First, we focus on operative anesthesia and analgesia and areas for future research specific to upper extremity surgery. In part 2, we discuss the nonopioid options available after surgery.
Identifiants
pubmed: 31031025
pii: S0363-5023(18)31823-9
doi: 10.1016/j.jhsa.2019.01.020
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
787-791Informations de copyright
Copyright © 2019 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.