Opiates are an important part of pain management and especially post-surgical pain. However, there is now a global overuse of opioids, often referred to as the “opioid crisis” which as perioperative physicians we may have unwittingly contributed to.
What this paper adds:
This is an international multidisciplinary consensus statement (four of the authors are executive members of the ERAS Society) and was developed to provide balanced guidance on the safe peri-operative use of opioids in adults. Recommended strategies to reduce harm include: identifying those at risk pre-operatively; assessment of patient function rather than unidimensional pain scores alone to guide adequacy of analgesia; avoidance of long-acting (modified release and transdermal patches) opioid formulations and combination analgesics; limiting the number of tablets prescribed at discharge; and providing deprescribing advice. This consensus statement provides a really useful framework for better prescribing practices that hopefully will help reduce the risk of postoperative opioid-related harm in adults.
Return on investment of the Enhanced Recovery After Surgery (ERAS) multiguideline, multisite implementation in Alberta, Canada Nguyen X. Thanh et al Return on investment of the Enhanced Recovery After…