TY - JOUR
T1 - Preoperative Management of Opioid and Nonopioid Analgesics
T2 - Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement
AU - O'Rourke, Michael J.
AU - Keshock, Maureen C.
AU - Boxhorn, Christine E.
AU - Correll, Darin J.
AU - O'Glasser, Avital Y.
AU - Gazelka, Halena M.
AU - Urman, Richard D.
AU - Mauck, Karen
N1 - Funding Information:
Funding Support: Dr Urman reports research funding and fees from Merck; research funding and fees from Medtronic/Covidien; research funding from AcelRx; fees from Takeda; fees from Heron; fees from Acacia; National Institutes of Health grant no. 1R34DA048268-01A1 ; Agency for Health Research and Quality , grant no. 5R01HS025718-03 9 ; and National science foundation Award , #no. 1838796 .
Funding Information:
Funding Support: Dr Urman reports research funding and fees from Merck; research funding and fees from Medtronic/Covidien; research funding from AcelRx; fees from Takeda; fees from Heron; fees from Acacia; National Institutes of Health grant no. 1R34DA048268-01A1; Agency for Health Research and Quality, grant no. 5R01HS025718-03 9; and National science foundation Award, #no. 1838796.Potential Competing Interests: Dr Urman has received consulting fees from Medtronic, Heron Therapeutics, Inc, Novartis Pharmaceuticals Corporation, and Acacia Pharma Group Plc (unrelated to the current work) and has received grants/has grants pending from Medtronic, Merck & Co, Inc, and Mallinckrodt Pharmaceuticals (unrelated to the current work; all funds paid to his institution). The other authors report no competing interests.
Publisher Copyright:
© 2020 Mayo Foundation for Medical Education and Research
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - There is a lack of guidelines for preoperative dosing of opioid and nonopioid pain medications for surgical patients, which can lead to suboptimal preoperative pain control. The Society for Perioperative Assessment and Quality Improvement identified preoperative dosing of opioid and nonopioid analgesics as an area in which consensus could improve patient care. The aim of this guideline is to provide consensus that will allow perioperative physicians to make optimal recommendations regarding preoperative pain medication dosing. Six categories of pain medications were identified: opioid agonists, opioid antagonists, opioid agonist-antagonists, acetaminophen, muscle relaxants, and triptans/headache medications. We then used a Delphi survey technique to develop consensus recommendations for preoperative dosing of individual medications in each of these groups.
AB - There is a lack of guidelines for preoperative dosing of opioid and nonopioid pain medications for surgical patients, which can lead to suboptimal preoperative pain control. The Society for Perioperative Assessment and Quality Improvement identified preoperative dosing of opioid and nonopioid analgesics as an area in which consensus could improve patient care. The aim of this guideline is to provide consensus that will allow perioperative physicians to make optimal recommendations regarding preoperative pain medication dosing. Six categories of pain medications were identified: opioid agonists, opioid antagonists, opioid agonist-antagonists, acetaminophen, muscle relaxants, and triptans/headache medications. We then used a Delphi survey technique to develop consensus recommendations for preoperative dosing of individual medications in each of these groups.
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U2 - 10.1016/j.mayocp.2020.06.045
DO - 10.1016/j.mayocp.2020.06.045
M3 - Review article
AN - SCOPUS:85101113964
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
SN - 0025-6196
ER -