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Pain Management Volume 12, 2022 - Issue 7
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Preliminary Communication

The Impact of Reducing Opioid Unit Dose Quantities on Perioperative Utilization and Pain Scores For Laparoscopic Cholecystectomies

Che A Solla1 Department of Anesthesiology, University of Tennessee Medical Center, Knoxville, TN 37920, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-0694-3627
ORCID Icon,
Aimee Pehrson1 Department of Anesthesiology, University of Tennessee Medical Center, Knoxville, TN 37920, USAORCID Iconhttps://orcid.org/0000-0002-7374-0267
ORCID Icon,
Onar Gulsah2 Department of Public Health, University of Tennessee at Knoxville, Knoxville, TN 37996, USA
,
Tyler Indranoi1 Department of Anesthesiology, University of Tennessee Medical Center, Knoxville, TN 37920, USA
,
Matthew Montgomery1 Department of Anesthesiology, University of Tennessee Medical Center, Knoxville, TN 37920, USA
&
Jason Buehler1 Department of Anesthesiology, University of Tennessee Medical Center, Knoxville, TN 37920, USA
Pages 821-827 | Received 29 Dec 2021, Accepted 06 Jul 2022, Published online: 26 Aug 2022

References

  • Molina PE . Opioids and opiates: analgesia with cardiovascular, haemodynamic and immune implications in critical illness. J. Int. Med.259(2), 138–154
  • Brummett C , WaljeeJ , GoeslingJet al. New persistent opioid use after minor and major surgical procedures in US adults. JAMA Surg.152(6), e170504–e170504 (2017).
  • Ershoff B , GroganT , HongJ , ChiaP , GabelE , CannessonM. Hydromorphone unit dose affects intraoperative dosing: an observational study. Anesthesiology132(5), 981–991 (2020).
  • Rosenfeld D , KnappK , SpiroJ , GorlinA , RamakrishnaH , TrentmanT. The effect of ampule size of fentanyl on perioperative intravenous opioid dosing. J. Anaesthesiol. Clin. Pharmacol.34(4), 513 (2018).
  • Stone A , FieldsK , RathmellJ , WeinerS , CotugnoM , PimentelM. Association between fentanyl vial size and dose given: an interrupted time series analysis of intraoperative opioid administration. Br. J. Anaesth.124(6), e219–e221 (2020).
  • Deutsch AJ , GajdosikDAet al. The impact of the parenteral opioid medication shortages on opioid utilization practices in the emergency department of two university hospitals. J. Med. Toxicol.17(4), 372–377 (2021).
  • United States Drug Enforcement Agency (2019, September 11) . DEA proposes to reduce the amount of five opioids manufactured in 2020, marijuana quota for research increases by almost a third. https://www.dea.gov/press-releases/2019/09/11/dea-proposes-reduce-amount-five-opioids-manufact
  • Fletcher D , MartinezV. Opioid-induced hyperalgesia in patients after surgery: a systematic review and a meta-analysis. Br. J. Anaesth.112(6), 991–1004 (2014).
  • Hayhurst C , MarcelE. Differential opioid tolerance and opioid-induced hyperalgesia: a clinical reality. Anesthesiology124(2), 483–488 (2016).
  • Marion L , SilvermanS , HansenH , PatelV , ManchikantiL. A comprehensive review of opioid-induced hyperalgesia. Pain Physician14, 145–161 (2011).
  • David H , HockleyA , Vasquez-MontesDet al. “Total inpatient morphine milligram equivalents can predict long-term opioid use after transforaminal lumbar interbody fusion”. Spine44(20), 1465–1470 (2019).
  • Long D , LihnA , FriedrichSet al. Association between intraoperative opioid administration and 30-day readmission: a pre-specified analysis of registry data from a healthcare network in New England. Br. J. Anaesth.120(5), 1090–1102 (2018).
  • Gillerman R , BrowningR. Drug use inefficiency: a hidden source of wasted health care dollars. Anesth. Analg.91(4), 921–924 (2000).
  • Weinger Matthew B . Drug wastage contributes significantly to the cost of routine anesthesia care. J. Clin. Anesth.13(7), 491–497 (2001).
  • Richebé P , CapdevilaX , RivatC. Persistent postsurgical pain: pathophysiology and preventative pharmacologic considerations. Anesthesiology129(3), 590–607 (2017).
  • Rishel C , ZhangY , SunE. Association between preoperative benzodiazepine use and postoperative opioid use and health care costs. JAMA Netw. Open3(10), e2018761–e2018761 (2020).
  • Fishman S , BallantyneJ , RathmellJP , BonicaJJ. Bonica’s Management of Pain.5th EditionLippincott, Williams&Wilkins, MD, USA (2019).

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