Advertisement

Doing our part to address the opioid epidemic

Published:November 11, 2021DOI:https://doi.org/10.1016/j.amjsurg.2021.10.042
      Opioid-related deaths contributed to 71% of drug-related deaths nationwide in 2019.
      Many people are first exposed to opioids through postoperative prescription opioids.
      • Hill M.V.
      • McMahon M.L.
      • Stucke R.S.
      • Barth Jr., R.J.
      Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures.
      Prescription opioids remain a significant driver of later illicit drug use.
      • Upp L.A.
      • Waljee J.F.
      The opioid epidemic.
      Conversely, uncontrolled postoperative pain is associated with increased complications, poor recovery and quality of life.
      • Chou R.
      • Gordon D.B.
      • de Leon-Casasola O.A.
      • et al.
      Management of postoperative pain: a clinical practice guideline from the American pain Society, the American Society of regional anesthesia and pain medicine, and the American Society of anesthesiologists' committee on regional anesthesia, executive committee, and administrative council.
      ,
      • Kehlet H.
      • Jensen T.S.
      • Woolf C.J.
      Persistent postsurgical pain: risk factors and prevention.
      Exploring non-opioid postoperative pain relief is imperative to ensuring high quality of care.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Wide-ranging Online Data for Epidemiologic Research (WONDER). CDC, National Center for Health Statisitics, 2020
        • Hill M.V.
        • McMahon M.L.
        • Stucke R.S.
        • Barth Jr., R.J.
        Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures.
        Ann Surg. 2017; 265
        • Upp L.A.
        • Waljee J.F.
        The opioid epidemic.
        Clin Plast Surg. Apr 2020; 47: 181-190https://doi.org/10.1016/j.cps.2019.12.005
        • Chou R.
        • Gordon D.B.
        • de Leon-Casasola O.A.
        • et al.
        Management of postoperative pain: a clinical practice guideline from the American pain Society, the American Society of regional anesthesia and pain medicine, and the American Society of anesthesiologists' committee on regional anesthesia, executive committee, and administrative council.
        J Pain. Feb 2016; 17: 131-157https://doi.org/10.1016/j.jpain.2015.12.008
        • Kehlet H.
        • Jensen T.S.
        • Woolf C.J.
        Persistent postsurgical pain: risk factors and prevention.
        Lancet. 2006; 367 (2006/05/13/): 1618-1625https://doi.org/10.1016/S0140-6736(06)68700-X
        • Waddimba A.C.
        • Newman P.
        • Shelley J.K.
        • et al.
        Pain management after laparoscopic appendectomy: Comparative effectiveness of innovative pre-emptive analgesia using liposomal bupivacaine.
        Am J Surg. 2022; 223: 832-838https://doi.org/10.1016/j.amjsurg.2021.09.019
        • Volkow N.D.
        • Blanco C.
        The changing opioid crisis: development, challenges and opportunities.
        Mol Psychiatr. 2021; 26 (2021/01/01): 218-233https://doi.org/10.1038/s41380-020-0661-4
        • Titan A.
        • Doyle A.
        • Pfaff K.
        • et al.
        Impact of policy-based and institutional interventions on postoperative opioid prescribing practices.
        Am J Surg. 2021; 222 (2021/10/01/): 766-772https://doi.org/10.1016/j.amjsurg.2021.02.004
        • Jain R.K.
        • Porat M.D.
        • Klingenstein G.G.
        • Reid J.J.
        • Post R.E.
        • Schoifet S.D.
        The AAHKS clinical research award: liposomal bupivacaine and periarticular injection are not superior to single-shot intra-articular injection for pain control in total knee arthroplasty.
        J Arthroplasty. Sep 2016; 31: 22-25https://doi.org/10.1016/j.arth.2016.03.036
        • Alijanipour P.
        • Tan T.L.
        • Matthews C.N.
        • et al.
        Periarticular injection of liposomal bupivacaine offers No benefit over standard bupivacaine in total knee arthroplasty: a prospective, randomized, controlled trial.
        J Arthroplasty. Feb 2017; 32: 628-634https://doi.org/10.1016/j.arth.2016.07.023