Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery
In 2016, more than 11 million people reported misuse of opioids in the previous year. In an effort to combat opioid use disorder (OUD), the use of agonist/antagonist is becoming increasingly common, with more than 2.2 million patients reporting use of a buprenorphine containing medication such as Su...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/5628348 |
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| _version_ | 1832553989540937728 |
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| author | Shawn H. Malan Christopher H. Bailey Narjeet Khurmi |
| author_facet | Shawn H. Malan Christopher H. Bailey Narjeet Khurmi |
| author_sort | Shawn H. Malan |
| collection | DOAJ |
| description | In 2016, more than 11 million people reported misuse of opioids in the previous year. In an effort to combat opioid use disorder (OUD), the use of agonist/antagonist is becoming increasingly common, with more than 2.2 million patients reporting use of a buprenorphine containing medication such as Suboxone®. Buprenorphine is a unique opioid which acts as a partial μ agonist and ĸ antagonist. These properties make it an effective tool in treating OUD and abuse. However, despite its advantages in treating OUD and abuse, buprenorphine can make it difficult to control acute perioperative pain. We present a case in which the Mayo Clinic Arizona protocol for patients undergoing minimally invasive ambulatory surgery while taking Suboxone® is successfully executed, resulting in adequate postoperative pain control and timely discharge from the postanesthesia recovery unit. |
| format | Article |
| id | doaj-art-ff76b8db9212424a9438c397756049d6 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-ff76b8db9212424a9438c397756049d62025-02-03T05:52:44ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/56283485628348Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory SurgeryShawn H. Malan0Christopher H. Bailey1Narjeet Khurmi2Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAIn 2016, more than 11 million people reported misuse of opioids in the previous year. In an effort to combat opioid use disorder (OUD), the use of agonist/antagonist is becoming increasingly common, with more than 2.2 million patients reporting use of a buprenorphine containing medication such as Suboxone®. Buprenorphine is a unique opioid which acts as a partial μ agonist and ĸ antagonist. These properties make it an effective tool in treating OUD and abuse. However, despite its advantages in treating OUD and abuse, buprenorphine can make it difficult to control acute perioperative pain. We present a case in which the Mayo Clinic Arizona protocol for patients undergoing minimally invasive ambulatory surgery while taking Suboxone® is successfully executed, resulting in adequate postoperative pain control and timely discharge from the postanesthesia recovery unit.http://dx.doi.org/10.1155/2020/5628348 |
| spellingShingle | Shawn H. Malan Christopher H. Bailey Narjeet Khurmi Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery Case Reports in Anesthesiology |
| title | Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery |
| title_full | Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery |
| title_fullStr | Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery |
| title_full_unstemmed | Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery |
| title_short | Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery |
| title_sort | perioperative management of a patient taking suboxone r at the time of ambulatory surgery |
| url | http://dx.doi.org/10.1155/2020/5628348 |
| work_keys_str_mv | AT shawnhmalan perioperativemanagementofapatienttakingsuboxoneatthetimeofambulatorysurgery AT christopherhbailey perioperativemanagementofapatienttakingsuboxoneatthetimeofambulatorysurgery AT narjeetkhurmi perioperativemanagementofapatienttakingsuboxoneatthetimeofambulatorysurgery |