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dc.contributor.advisorHadenfeldt, Sharonen
dc.contributor.authorBoer, Meghanen
dc.date.accessioned2017-06-26T19:55:44Z
dc.date.available2017-06-26T19:55:44Z
dc.date.issued2017-06-26
dc.identifier.urihttp://hdl.handle.net/10755/621598
dc.description.abstract<p>Despite the lack of compelling evidence to support long-term efficacy in the treatment of opioid abuse, opioids are one of the most common classes of medications prescribed in the United States. As such, the significant increase in prescription and illicit opioid abuse since the nineties has led to a surge in patients recovering from addiction and now maintained on opioid replacement therapy (ORT). Due to this rapid growth in ORT, there has been a strong interest in utilization of opioid agonists such as methadone, and partial agonists such as buprenorphine, which have been increasingly utilized to treat severe chronic pain and to prevent withdrawal symptoms in those who have an addiction to opiates. The growth of this patient population has presented anesthesia providers with a challenge. Specifically, these medications interfere with the usual effect of opioids anesthesia providers use to deliver anesthesia and treat acute pain. Understanding the pharmacodynamics of the individual ORT medications prescribed is critical in terms of using the best practices to control pain in the perioperative setting. Additionally, it is imperative to communicate with all members of the healthcare team and to have a plan for managing acute perioperative pain.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectOpioid Use Disorderen
dc.subjectOpioid Replacement Therapyen
dc.subjectPain Therapyen
dc.subjectAnesthesiaen
dc.subjectAnalgesicsen
dc.titlePerioperative pain management in patients on opioid replacement therapy: An integrative reviewen
dc.typeOther Graduate Paperen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>
thesis.degree.grantorBryan College of Health Sciencesen
thesis.degree.levelDoctoral – Otheren
thesis.degree.year2017
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlPerioperative Careen
dc.subject.cinahlPerioperative Care--Methodsen
dc.subject.cinahlSubstance Use Disordersen
dc.subject.cinahlSubstance Use Disorders--Therapyen
dc.subject.cinahlAnalgesics, Opioiden
dc.subject.cinahlPain Managementen
dc.subject.cinahlPain Management--Methodsen
dc.contributor.departmentNon-memberen
dc.author.detailsMeghan Boer, DNAP, CRNAen
dc.description.reviewtypeFaculty Approved: Degree-based Submissionen
dc.description.acquisitionProxy-submissionen


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