Petloperative management of acute pain in the opioid-dependent patient

被引:144
作者
Mitra, S [1 ]
Sinatra, RS [1 ]
机构
[1] Yale Univ, Sch Med, Dept Anesthesiol, New Haven, CT 06520 USA
关键词
D O I
10.1097/00000542-200407000-00032
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Patients with opioid dependence, whether abusers or legitimate users, can pose significant and unique challenges to the anesthesiologist. This overview focuses on the clinical implications of opioid tolerance and dependency and offers guidelines for patient assessment and pain management in the perioperative setting.
引用
收藏
页码:212 / 227
页数:16
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共 110 条
[21]   EPIDURAL BUPIVACAINE/SUFENTANIL THERAPY FOR POSTOPERATIVE PAIN CONTROL IN PATIENTS TOLERANT TO OPIOID AND UNRESPONSIVE TO EPIDURAL BUPIVACAINE/MORPHINE [J].
DELEONCASASOLA, OA ;
LEMA, MJ .
ANESTHESIOLOGY, 1994, 80 (02) :303-309
[22]   EPIDURAL SUFENTANIL FOR ACUTE PAIN CONTROL IN A PATIENT WITH EXTREME OPIOID DEPENDENCY [J].
DELEONCASASOLA, OA ;
LEMA, MJ .
ANESTHESIOLOGY, 1992, 76 (05) :853-856
[23]   A randomized study of the effects of single-dose gabapentin versus placebo on postoperative pain and morphine consumption after mastectomy [J].
Dirks, J ;
Fredensborg, BB ;
Christensen, D ;
Fomsgaard, JS ;
Flyger, H ;
Dahl, JB .
ANESTHESIOLOGY, 2002, 97 (03) :560-564
[24]   Methadone maintenance patients are cross-tolerant to the antinociceptive effects of morphine [J].
Doverty, M ;
Somogyi, AA ;
White, JM ;
Bochner, F ;
Beare, CH ;
Menelaou, A ;
Ling, W .
PAIN, 2001, 93 (02) :155-163
[25]   Chronic opioid therapy for nonmalignant pain in patients with a history of substance abuse: Report of 20 cases [J].
Dunbar, SA ;
Katz, NP .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1996, 11 (03) :163-171
[26]   Gabapentin enhances the analgesic effect of morphine in healthy volunteers [J].
Eckhardt, K ;
Ammon, S ;
Hofmann, U ;
Riebe, A ;
Gugeler, N ;
Mikus, G .
ANESTHESIA AND ANALGESIA, 2000, 91 (01) :185-191
[27]   DEXTROMETHORPHAN ATTENUATES AND REVERSES ANALGESIC TOLERANCE TO MORPHINE [J].
ELIOTT, K ;
HYNANSKY, A ;
INTURRISI, CE .
PAIN, 1994, 59 (03) :361-368
[28]   Office-based treatment of opioid-dependent patients [J].
Fiellin, DA ;
O'Connor, PG .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (11) :817-823
[29]   DRUG-ABUSE, DEPENDENCE, AND ADDICTION IN CHRONIC PAIN PATIENTS [J].
FISHBAIN, DA ;
ROSOMOFF, HL ;
ROSOMOFF, RS .
CLINICAL JOURNAL OF PAIN, 1992, 8 (02) :77-85
[30]   Intravenous high-dose methadone administered by patient controlled analgesia and continuous infusion for the treatment of cancer pain refractory to high-dose morphine [J].
Fitzgibbon, DR ;
Ready, LB .
PAIN, 1997, 73 (02) :259-261