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Long-Acting Perioperative Opioids 

Long-Acting Perioperative Opioids
Chapter:
Long-Acting Perioperative Opioids
Author(s):

Kenneth D. Candido

and Teresa M. Kusper

DOI:
10.1093/med/9780190457006.003.0009
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date: 18 January 2020

Opioid medications are extensively utilized in the management of acute and chronic pain in the outpatient and inpatient clinical settings, as well as being used worldwide during both routine and complex surgeries. They have a long-standing, proven history of providing pain control during the perioperative period and have become an indispensable element of postsurgical analgesia. This chapter describes perioperative application of opioid medications, with a special focus on the long-acting opioids, morphine and hydromorphone. Most common side effects engendered using these agents and the remedies available for the treatment of those side effects are briefly discussed. Finally, the chapter provides a concise summery of various factors influencing the effectiveness of opioid analgesics, as well as analgesic considerations for special patient populations.

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