Book chapter
Use of Opioid Analgesics in Postsurgical and Trauma Patients
Opioid Use in Critical Care, pp.195-212
Springer International Publishing
07/22/2021
DOI: 10.1007/978-3-030-77399-1_12
Abstract
Proper analgesia should be part of an integrated care plan for patients who undergo surgery or sustain trauma. Satisfactory analgesia is not only compassionate care but also necessary for optimal end-organ function and recovery. Establishing expectations regarding pain management, assessing pain, and limiting variability in practice by developing and implementing protocols will allow for appropriate pain control in postsurgical and trauma patients. While opioids are effective in managing pain, side effects may limit their utility. A multimodal pharmacologic approach is often employed as part of a comprehensive plan for pain management in an effort to optimize but also limit opioid administration. This chapter presents not only specific opioids commonly utilized in contemporary practice, but also non-opioid analgesics and adjuncts useful in opioid sparing. Specific metabolism factors in the setting of end-organ dysfunction are reviewed. Case specific scenarios as well as transitioning of care during recovery are also discussed.
Details
- Title: Subtitle
- Use of Opioid Analgesics in Postsurgical and Trauma Patients
- Creators
- Daniel R. Brown - Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, USA.Mark R. Pedersen - University of Iowa
- Resource Type
- Book chapter
- Publication Details
- Opioid Use in Critical Care, pp.195-212
- DOI
- 10.1007/978-3-030-77399-1_12
- Publisher
- Springer International Publishing; Cham
- Language
- English
- Date published
- 07/22/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296117402771
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