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Acute Management of the Opioid-Dependent Patient

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Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches

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Abstract

Seventy million patients are afflicted by and treated for chronic pain in the United States and treated more frequently with long-term opioids, particularly morphine, oxycodone, and methadone in the treatment of non-cancer pain. Many of these patients will arrive for surgical procedures, and pain management will be a major part of their hospital stay. According to various sources, approximately 40 % of all surgical patients still experience moderate to severe pain and almost a quarter of them experience inadequate pain relief. Allowing patients to suffer from poorly controlled pain not only may be considered a breach of human rights but may result in emotional and cognitive problems, negatively impacting postoperative rehabilitation and quality of life.

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Authors and Affiliations

  1. Department of Anesthesiology, Duke University Hospital, 3094, 2301 Erwin Rd, Durham, NC, 27705, USA

    Brandi A. Bottiger M.D.

  2. Billings Anesthesiology PC, 1155, Billings, MT, 59103, USA

    Denny Curtis Orme DO, MPH

  3. Department of Anesthesiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA

    Vitaly Gordin

  4. Department of Anesthesiology, Pennsylvania State University College of Medicine, Hershey, PA, USA

    Vitaly Gordin

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  2. Denny Curtis Orme DO, MPH
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  3. Vitaly Gordin
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Corresponding author

Correspondence to Brandi A. Bottiger M.D. .

Editor information

Editors and Affiliations

  1. The Center for Pain Relief, Inc., West Virginia University, 400 Court Street, Suite 100, Charleston, 25301, West Virginia, USA

    Timothy R. Deer

  2. Stanford Pain Management Center, Redwood City, CA, Clinic Chief, Stanford University School of Medicine, Stanford, 94065, California, USA

    Michael S. Leong

  3. Department of Anesthesiology, Rush Medical College, Professor, Rush University Medical Center, Chicago, 60612, Illinois, USA

    Asokumar Buvanendran

  4. Pennsylvania State University, College of Medicine, Department of Anesthesiology, Milton S. Hershey Medical Center, Hershey, 17033-0850, Pennsylvania, USA

    Vitaly Gordin

  5. Center for Interventional Pain and Spine, Newark, DE USA, Medical Director, Bryn Mawr Hospital, Bryn Mawr, 19010, Pennsylvania, USA

    Philip S. Kim

  6. President, National Institute of Pain, Tampa, 33558, Florida, USA

    Sunil J. Panchal

  7. The LITE Center, Clinical Associate Professor, Medical Director, School of Medicine, Miami, 33143, Florida, USA

    Albert L. Ray

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© 2013 American Academy of Pain Medicine

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Bottiger, B.A., Orme, D.C., Gordin, V. (2013). Acute Management of the Opioid-Dependent Patient. In: Deer, T., et al. Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1560-2_12

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  • DOI: https://doi.org/10.1007/978-1-4614-1560-2_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1559-6

  • Online ISBN: 978-1-4614-1560-2

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