TY - JOUR
T1 - Opioid-Sparing Pain Management in Upper Extremity Surgery
T2 - Part 1: Role of the Surgeon and Anesthesiologist
AU - Pulos, Bridget P.
AU - Bowers, Matthew R.
AU - Shin, Alexander Y.
AU - Pulos, Nicholas
N1 - Publisher Copyright:
© 2019 American Society for Surgery of the Hand
PY - 2019/9
Y1 - 2019/9
N2 - A multimodal pain management strategy combines complementary medications and techniques, targeting unique pathways, to improve overall analgesic effect and reduce opioid requirements. In this 2-part review, we examine the literature identifying nonopioid analgesic modalities and their targets in the pain pathway as well as anesthetic techniques found to be opioid-sparing in the practice of upper extremity surgery. First, we focus on operative anesthesia and analgesia and areas for future research specific to upper extremity surgery. In part 2, we discuss the nonopioid options available after surgery.
AB - A multimodal pain management strategy combines complementary medications and techniques, targeting unique pathways, to improve overall analgesic effect and reduce opioid requirements. In this 2-part review, we examine the literature identifying nonopioid analgesic modalities and their targets in the pain pathway as well as anesthetic techniques found to be opioid-sparing in the practice of upper extremity surgery. First, we focus on operative anesthesia and analgesia and areas for future research specific to upper extremity surgery. In part 2, we discuss the nonopioid options available after surgery.
KW - Anesthesia and analgesia
KW - opioid-sparing pain management
KW - upper extremity surgery
UR - http://www.scopus.com/inward/record.url?scp=85064678589&partnerID=8YFLogxK
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U2 - 10.1016/j.jhsa.2019.01.020
DO - 10.1016/j.jhsa.2019.01.020
M3 - Review article
C2 - 31031025
AN - SCOPUS:85064678589
SN - 0363-5023
VL - 44
SP - 787
EP - 791
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 9
ER -