Opioid-Sparing Pain Management in Upper Extremity Surgery: Part 1: Role of the Surgeon and Anesthesiologist

Bridget P. Pulos, Matthew R. Bowers, Alexander Yong-Shik Shin, Nicholas Pulos

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)787-791
Number of pages5
JournalJournal of Hand Surgery
Volume44
Issue number9
DOIs
StatePublished - Sep 1 2019

Keywords

  • Anesthesia and analgesia
  • opioid-sparing pain management
  • upper extremity surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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