Cardiac surgery's long opioid dependency: time to recalibrate pain therapy?

Lisa Q. Rong; Liang Shen; Karsten Bartels

doi:10.1016/j.bja.2022.08.008

Cardiac surgery's long opioid dependency: time to recalibrate pain therapy?

Lisa Q. Rong, Liang Shen, Karsten Bartels

Anesthesiology

Research output: Contribution to journal › Editorial › peer-review

Abstract

Opioid analgesia is the cornerstone of anaesthetic management during cardiac surgery. However, a subset of patients use opioids persistently after three months of surgery. We discuss a recent meta-analysis and systematic review by Liu and colleagues describing both patient and peri-procedural risk factors that contribute to this phenomenon in the context of chronic pain after cardiac surgery. Anaesthetists for cardiac surgery should consider opioid alternatives and individual patient risk factors to optimise recovery and pain control.

Original language	English (US)
Pages (from-to)	655-658
Number of pages	4
Journal	British Journal of Anaesthesia
Volume	129
Issue number	5
DOIs	https://doi.org/10.1016/j.bja.2022.08.008
State	Published - Nov 2022

Keywords

cardiac surgery
chronic pain
multimodal analgesia
perioperative opioid use
persistent opioid use

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.bja.2022.08.008

Cite this

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title = "Cardiac surgery's long opioid dependency: time to recalibrate pain therapy?",

abstract = "Opioid analgesia is the cornerstone of anaesthetic management during cardiac surgery. However, a subset of patients use opioids persistently after three months of surgery. We discuss a recent meta-analysis and systematic review by Liu and colleagues describing both patient and peri-procedural risk factors that contribute to this phenomenon in the context of chronic pain after cardiac surgery. Anaesthetists for cardiac surgery should consider opioid alternatives and individual patient risk factors to optimise recovery and pain control.",

keywords = "cardiac surgery, chronic pain, multimodal analgesia, perioperative opioid use, persistent opioid use",

author = "Rong, {Lisa Q.} and Liang Shen and Karsten Bartels",

note = "Funding Information: The content of this report is solely the authors' responsibility and does not represent the official views of the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality (AHRQ). NIH and AHRQ were not involved in writing the report or in making the decision to submit the article for publication. Publisher Copyright: {\textcopyright} 2022 British Journal of Anaesthesia",

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doi = "10.1016/j.bja.2022.08.008",

language = "English (US)",

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TY - JOUR

T1 - Cardiac surgery's long opioid dependency

T2 - time to recalibrate pain therapy?

AU - Rong, Lisa Q.

AU - Shen, Liang

AU - Bartels, Karsten

N1 - Funding Information: The content of this report is solely the authors' responsibility and does not represent the official views of the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality (AHRQ). NIH and AHRQ were not involved in writing the report or in making the decision to submit the article for publication. Publisher Copyright: © 2022 British Journal of Anaesthesia

PY - 2022/11

Y1 - 2022/11

N2 - Opioid analgesia is the cornerstone of anaesthetic management during cardiac surgery. However, a subset of patients use opioids persistently after three months of surgery. We discuss a recent meta-analysis and systematic review by Liu and colleagues describing both patient and peri-procedural risk factors that contribute to this phenomenon in the context of chronic pain after cardiac surgery. Anaesthetists for cardiac surgery should consider opioid alternatives and individual patient risk factors to optimise recovery and pain control.

AB - Opioid analgesia is the cornerstone of anaesthetic management during cardiac surgery. However, a subset of patients use opioids persistently after three months of surgery. We discuss a recent meta-analysis and systematic review by Liu and colleagues describing both patient and peri-procedural risk factors that contribute to this phenomenon in the context of chronic pain after cardiac surgery. Anaesthetists for cardiac surgery should consider opioid alternatives and individual patient risk factors to optimise recovery and pain control.

KW - cardiac surgery

KW - chronic pain

KW - multimodal analgesia

KW - perioperative opioid use

KW - persistent opioid use

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Cardiac surgery's long opioid dependency: time to recalibrate pain therapy?

Abstract

Keywords

ASJC Scopus subject areas

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