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 - Publisher Copyright:
© 2020 Mayo Foundation for Medical Education and Research
PY - 2021/5
Y1 - 2021/5
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
C2 - 33618850
AN - SCOPUS:85101113964
SN - 0025-6196
VL - 96
SP - 1325
EP - 1341
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 5
ER -