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Opioid-Free Using Ketamine versus Opioid-Sparing Anesthesia during the Intraoperative Period in Video-Assisted Thoracoscopic Surgery: A Randomized Controlled Trial. [PDF]
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Opioid-Sparing Anesthesia: Gabapentin and Postoperative Pain
Journal of PeriAnesthesia Nursing, 2022Nonopioid analgesics are commonly used to augment or replace opioids in the perioperative setting. Perianesthesia nurses must consider timing and appropriateness when administering these medications to patients in the preoperative area or the postanesthesia care unit, particularly when other medications with sedative effects are being given. Gabapentin,
Elaine M. Ladich +3 more
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A Radical Proposition: Opioid-sparing Prostatectomy
European Urology Focus, 2020Radical prostatectomy has largely become a procedure requiring a single day in the hospital with improving convalescence. Pre-operative counseling on perioperatively expectations including a discussion of pain management using non-opioid alternatives is critical to further improve postoperative recovery and limit narcotic use.
Katherine M, Theisen, Benjamin J, Davies
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Managing postoperative pain with opioid-sparing therapies
Nursing, 2020Abstract: The analgesic properties of opioids make them valuable pharmacologic options for patients with severe post-op pain, but healthcare providers must be cautious due to opioid-related adverse reactions. This article reviews select nonopioid adjuvant and adjunctive medications, as well as select nonpharmacologic therapies, as part of a ...
Taylor, Barnett, Linda, Denke
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Opioid-Sparing Perioperative Analgesia Within Enhanced Recovery Programs
Anesthesiology Clinics, 2022Opioid-based analgesia in the perioperative period can provide excellent pain control, but this approach exposes the patient to avoidable side effects and possible harm. Optimal analgesia, an approach that targets the fastest functional recovery with adequate pain control while minimizing side effects, can be achieved with opioid minimization.
Matthew D, McEvoy +2 more
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Opioid Sparing in Cleft Palate Surgery
The Cleft Palate-Craniofacial Journal, 2018Objective:This study aimed to determine whether intraoperative acetaminophen was able to decrease opioid consumption, pain scores, and length of stay while increasing oral intake in cleft palate surgery.Design/Setting/Patients:One hundred consecutive patients with cleft palate who underwent a von Langenbeck or 2-flap palatoplasty and intravelar ...
Logan, Carr +5 more
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Evidence-based perioperative opioid-sparing techniques during the United States opioid crisis
Current Opinion in Otolaryngology & Head & Neck Surgery, 2023Purpose of review The current United States opioid epidemic resulted from the overprescribing of opioids by physicians and surgeons in response to deceptive and unlawful marketing campaigns by pharmaceutical companies seeking to profit from opioid sales.
Chloe, Warinner +3 more
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Opioid-Sparing Techniques in Orthopedic Anesthesia—One Step to Opioid-Free Anesthesia?
Anesthesiology Clinics, 2022Opioid-free anesthesia is a multimodal anesthesia aimed at avoiding the negative impact of intraoperative opioid on patient's postoperative outcomes. It is based on the physiology of pathways involved in intraoperative nociception. It has been shown to be feasible but the literature is still scarce on the clinically meaningful benefits as well as on ...
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Using dexmedetomidine to facilitate opioid sparing anesthesia
2022Purpose of the study:The purpose of this project was to increase the use of Dexmedetomidine for its opioid sparing properties.Methodology:This project used a prospective, descriptive, design. First a Gap Analysis Survey was used to assess a need for more provider education. Next, a point of care Dexmedetomidine Workshop was implemented and dosage badge
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