Case Series of Successful Postoperative Pain Management in Buprenorphine Maintenance Therapy Patients
نویسندگان
چکیده
Buprenorphine maintenance therapy patients frequently have severe postoperative pain due to buprenorphine-induced hyperalgesia and provider use of opioids with limited efficacy in the presence of buprenorphine. The authors report good-to-excellent pain management in 4 obstetric patients using nonopioid analgesics, regional anesthesia, continuation of buprenorphine, and use of opioids with high μ receptor affinity.
منابع مشابه
Buprenorphine in postoperative pain management.
Several decades ago, the analgesic properties of buprenorphine were discovered. Its approval for the use as an agent for the treatment of opioid abuse has led to increasing numbers of patients presenting for surgery on buprenorphine. This article describes the challenges, advantages, and disadvantages of the use of buprenorphine as an analgesic for postoperative pain in patients with and withou...
متن کاملComparison of Intravenous Morphine with Sublingual Buprenorphine in Management of Postoperative Pain after Closed Reduction Orthopedic Surgery
Background: Postoperative pain is a common side effect following surgery that can significantly reduce surgical quality and patient’s satisfaction. Treatment options are morphine and buprenorphine. We aimed to compare the efficacy of a single dose of intravenous morphine with sublingual buprenorphine in postoperative pain control following closed reduction surgery. Methods: This triple blind ...
متن کاملBuprenorphine Formulations: Clinical Best Practice Strategies Recommendations for Perioperative Management of Patients Undergoing Surgical or Interventional Pain Procedures.
BACKGROUND Starting with approval for clinical use in the treatment of opioid dependence in October 2002 by the Food and Drug Administration (FDA), buprenorphine has become an integral treatment option and in recent years, in chronic pain management. Buprenorphine possesses a unique pharmacodynamic and pharmacokinetic profile that can potentially make perioperative analgesia challenging. OBJE...
متن کاملAbstract # 241: A Perioperative Pain Management Strategy for Elective Cesarean Section in a Patient on Chronic Buprenorphine/Naloxone Therapy
241 A Perioperative Pain Management Strategy for Elective Cesarean Section in a Patient on Chronic Buprenorphine/Naloxone Therapy Abstract Type: Case Report/Case Series Matthew D. Cohen, D.O.; Marte A. Martinez, M.D. The University of Oklahoma Health Sciences CenterType: Case Report/Case Series Matthew D. Cohen, D.O.; Marte A. Martinez, M.D. The University of Oklahoma Health Sciences Center Obj...
متن کاملPerioperative Pain Management for Patients on Chronic Buprenorphine: A Case Report.
Here we present a patient with a Type I Chiari malformation who was receiving buprenorphine for chronic pain who underwent two separate urogynecologic procedures for removal of vaginal mesh with two different pain management regimens. For the first procedure at an outside hospital, the patient's usual dose of buprenorphine (8 mg sublingual every 8 hours) was continued up through her surgery and...
متن کامل