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Chapter 93 - Opioid Addiction

from Section 13 - Acute and Chronic Pain

Published online by Cambridge University Press:  03 August 2023

By
Winston Singleton  and
Brendan J. Astley
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 47-year-old female presents for a total knee arthroplasty. Her medical history is positive for hypertension, rheumatoid arthritis, and a previous history of opioid use disorder. Her current medications include hydrochlorothiazide (HCTZ), lisinopril, and buprenorphine hydrochloride (Subutex). The patient states that if possible she would like to avoid narcotics. What is your anesthetic plan? What is Subutex? How will it affect your anesthetic medications? Is it possible to completely avoid narcotics in the peri-operative period?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 391 - 396
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017 pp. 82–4.Google Scholar
Benzon, HT, Raja, SN, Molloy, RE, et al. Essentials of Pain Medicine and Regional Anesthesia, 4nd ed. Philadelphia: Elsevier, 2018.Google Scholar
Gropper, MA, Miller, RD, Eriksson, LI, et al. Miller’s Anesthesia, 9th ed. New York: Churchill Livingstone, 2020, pp. 638–679.Google Scholar
Thomson Micromedex Healthcare Series. www.micromedex.dkGoogle Scholar
Waldman, SD. Pain Management, Vol. 1. Philadelphia: Saunders Elsevier, 2007, pp. 939–61, 997–1001.Google Scholar

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