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Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies.
Hand (N Y). 2019 07; 14(4):439-444.H

Abstract

Background: Perioperative pain management in hand and upper extremity surgery has become increasingly challenging following recent efforts to accelerate postoperative recovery, decrease length of stay, and maximize the number and complexity of surgical interventions provided in an ambulatory setting. This issue has been further complicated by the growing opioid epidemic in the United States and increasing insights into its detrimental effects on society. Practicing hand surgeons must acknowledge this ongoing public health crisis and adapt their clinical practices to minimize and optimize distribution of prescription opioids. Methods/Results: This review outlines current opioid prescribing patterns, recent developments, and treatment strategies designed to maintain effective perioperative analgesia in orthopedic upper extremity surgery while minimizing opioid delivery available for diversion, misuse, and abuse. Conclusions: The authors advise hand surgeons to utilize the strategies discussed in this review to assist in forming a unique, patient-specific postoperative analgesic regimen.

Authors+Show Affiliations

1 Vanderbilt University Medical Center, Nashville, TN, USA.2 Thomas Jefferson University, Philadelphia, PA, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29998757

Citation

Labrum, Joseph T., and Asif M. Ilyas. "Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies." Hand (New York, N.Y.), vol. 14, no. 4, 2019, pp. 439-444.
Labrum JT, Ilyas AM. Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies. Hand (N Y). 2019;14(4):439-444.
Labrum, J. T., & Ilyas, A. M. (2019). Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies. Hand (New York, N.Y.), 14(4), 439-444. https://doi.org/10.1177/1558944718787262
Labrum JT, Ilyas AM. Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies. Hand (N Y). 2019;14(4):439-444. PubMed PMID: 29998757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies. AU - Labrum,Joseph T,4th AU - Ilyas,Asif M, Y1 - 2018/07/12/ PY - 2018/7/13/pubmed PY - 2020/6/6/medline PY - 2018/7/13/entrez KW - Hand KW - opioid KW - pain KW - postoperative KW - upper extremity SP - 439 EP - 444 JF - Hand (New York, N.Y.) JO - Hand (N Y) VL - 14 IS - 4 N2 - Background: Perioperative pain management in hand and upper extremity surgery has become increasingly challenging following recent efforts to accelerate postoperative recovery, decrease length of stay, and maximize the number and complexity of surgical interventions provided in an ambulatory setting. This issue has been further complicated by the growing opioid epidemic in the United States and increasing insights into its detrimental effects on society. Practicing hand surgeons must acknowledge this ongoing public health crisis and adapt their clinical practices to minimize and optimize distribution of prescription opioids. Methods/Results: This review outlines current opioid prescribing patterns, recent developments, and treatment strategies designed to maintain effective perioperative analgesia in orthopedic upper extremity surgery while minimizing opioid delivery available for diversion, misuse, and abuse. Conclusions: The authors advise hand surgeons to utilize the strategies discussed in this review to assist in forming a unique, patient-specific postoperative analgesic regimen. SN - 1558-9455 UR - https://neuro.unboundmedicine.com/medline/citation/29998757/Perioperative_Pain_Control_in_Upper_Extremity_Surgery:_Prescribing_Patterns_Recent_Developments_and_Opioid_Sparing_Treatment_Strategies_ DB - PRIME DP - Unbound Medicine ER -