Advertisement

Commentary: Role of pre-emptive analgesia in reversing the opioid epidemic

  • Mohamed K. Kamel
    Correspondence
    Address for reprints: Mohamed K. Kamel, MD, Department of General Surgery, Central Michigan University College of Medicine, 912 S Washington Ave, STE 1, Saginaw, MI 48601.
    Affiliations
    Department of General Surgery, Central Michigan University College of Medicine, Saginaw, Mich
    Search for articles by this author
Published:November 19, 2019DOI:https://doi.org/10.1016/j.jtcvs.2019.10.181
      The use of pre-emptive analgesia following minimally invasive foregut surgery can significantly decrease opioid prescriptions at discharge, yet with no compromise in the adequacy of pain control.
      To read this article in full you will need to make a payment

      References

        • Crile G.W.
        The kinetic theory of shock and its prevention through anoci-association (shockless operation).
        Lancet. 1913; 182: 7-16
        • Woolf C.J.
        • Wall P.D.
        Morphine-sensitive and morphine-insensitive actions of C-fibre input on the rat spinal cord.
        Neurosci Lett. 1986; 64: 221-225
        • Woolf C.J.
        • Chong M.-S.
        Preemptive analgesia—treating postoperative pain by preventing the establishment of central sensitization.
        Anesth Analg. 1993; 77: 362-379
        • Pogatzki-Zahn E.M.
        • Zahn P.K.
        From preemptive to preventive analgesia.
        Curr Opin Anesthesiol. 2006; 19: 551-555
        • Gostin L.O.
        • Hodge J.G.
        • Noe S.A.
        Reframing the opioid epidemic as a national emergency.
        JAMA. 2017; 318: 1539-1540
        • Johnson K.
        • Jones C.
        • Compton W.
        • Baldwin G.
        • Fan J.
        • Mermin J.
        • et al.
        Federal response to the opioid crisis.
        Curr HIV/AIDS Rep. 2018; 15: 293-301
        • Trabulsi E.J.
        • Patel J.
        • Viscusi E.R.
        • Gomella L.G.
        • Lallas C.D.
        Preemptive multimodal pain regimen reduces opioid analgesia for patients undergoing robotic-assisted laparoscopic radical prostatectomy.
        Urology. 2010; 76: 1122-1124
        • Al-Mujadi H.
        • A-Refai A.R.
        • Katzarov M.G.
        • Dehrab N.A.
        • Batra Y.K.
        • Al-Qattan A.R.
        Preemptive gabapentin reduces postoperative pain and opioid demand following thyroid surgery.
        Can J Anesth. 2006; 53: 268-273
        • Kim M.P.
        • Godoy C.
        • Nguyen D.T.
        • Meisenbach L.M.
        • Chihara R.
        • Chan E.Y.
        • et al.
        Preemptive pain-management program is associated with reduction of opioid prescriptions after benign minimally invasive foregut surgery.
        J Thorac Cardiovasc Surg. 2020; 159: 734-744.e4

      Linked Article