Confronting the Opioid Crisis: Practical Pain Management and Strategies. (4th December 2019)

• Record Type: Journal Article
• Authors: Mir, Hassan R.; Miller, Anna N.; Obremskey, William T.; Jahangir, A. Alex; Hsu, Joseph R.
• Is Part Of: Journal of bone and joint surgery. Volume 101:Number 23(2019)
• Publication Date: 2019-12-04
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Bot (anatomie); Gewrichten; Chirurgie (geneeskunde); Periodicals; Electronic journals; Periodicals; 617.47005
• DOI: 10.2106/JBJS.19.00285
• Languages: English
• ISSNs: 0021-9355

Abstract

Abstract : Abstract: The United States is in the midst of an opioid crisis. Clinicians have been part of the problem because of overprescribing of narcotics for perioperative pain management. Clinicians need to understand the pathophysiology and science of addiction to improve perioperative management of pain for their patients. Multiple modalities for pain management exist that decrease the use of narcotics. Physical strategies, cognitive strategies, and multimodal medication can all provide improved pain relief and decrease the use of narcotics. National medical societies are developing clinical practice guidelines for pain management that incorporate multimodal strategies and multimodal medication. Changes to policy that improve provider education, access to naloxone, and treatment for addiction can decrease narcotic misuse and the risk of addiction.