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Pro-Con Debate: Opioids and Perioperative Organ Injury—Friend or Foe?
Journal article   Peer reviewed

Pro-Con Debate: Opioids and Perioperative Organ Injury—Friend or Foe?

Detlef Obal, Andrew Notarianni, Loren E. Smith and Eric R. Gross
Anesthesia and analgesia, Vol.142(5), pp.832-842
05/2026
DOI: 10.1213/ANE.0000000000007707
PMID: 40779428

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Abstract

In this pro-con, we discuss the topic of opioids and organ protection. With the recent shift in providing opioid-sparing surgeries, it is imperative to understand whether opioids, administered routinely for surgeries over the past several decades, provide an added benefit of organ protection. This is an area of debate, as the possible benefits of opioid-mediated organ protection must be carefully weighed against the potential drawbacks of acute opioid administration, such as immunosuppression, hyperalgesia, and constipation.

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