Chronic Opioid Therapy Modifies QST Changes After Ketamine Infusion in Chronic Pain Patients

Opioid therapy for chronic pain.

N Engl J Med 2003;349:1943-53. Copyright © 2003 Massachusetts Medical Society. pium is a bitter, brown, granular powder derived from the seedpod of the poppy ( Papaver somniferum ). People have used opium for the relief of pain and suffering for thousands of years. Before the 19th century, opium was cultivated and used chiefly in the Middle East, whereas in Europe and the United States it was a...

Ketamine for managing perioperative pain in opioid-dependent patients with chronic pain: a unique indication?

IN this issue of ANESTHESIOLOGY, Loftus et al. 1 report findings from a study examining the utility of ketamine as an adjunct analgesic in controlling postoperative pain. Is this just another report on the perioperative use of ketamine addressing a question that has already been answered? We know this works, right? Considering that the population under study consisted of patients on long-term o...

Intraoperative ketamine and chronic opioid use: less pain, more morphine?

operative quality recovery scale. ANESTHESIOLOGY 2010; 113:892–905 2. Fleisher LA, Yee K, Lillemoe KD, Talamini MA, Yeo CJ, Heath R, Bass E, Snyder DS, Parker SD: Is outpatient laparoscopic cholecystectomy safe and cost-effective? A model to study transition of care. ANESTHESIOLOGY 1999; 90:1746 –55 3. Vaghadia H, Cheung K, Henderson C, Stewart A, Lennox P: A quantification of discharge readine...

Intraoperative Ketamine and Chronic Opioid Use: Less Pain, More Morphine?

operative quality recovery scale. ANESTHESIOLOGY 2010; 113:892–905 2. Fleisher LA, Yee K, Lillemoe KD, Talamini MA, Yeo CJ, Heath R, Bass E, Snyder DS, Parker SD: Is outpatient laparoscopic cholecystectomy safe and cost-effective? A model to study transition of care. ANESTHESIOLOGY 1999; 90:1746 –55 3. Vaghadia H, Cheung K, Henderson C, Stewart A, Lennox P: A quantification of discharge readine...

Long-Term Opioid Therapy for Chronic Pain.