Perioperative use of opioids: Current controversies and concerns

In the midst of an epidemic of opioid abuse and overdose-related morbidity and mortality, the use of opioids remains the most common means of providing analgesia in the perioperative period. In this article, we review the risks and benefits of opioid use in preoperative, intraoperative and post-operative phases of care. Furthermore, we describe the role that surgeons and anaesthesi-ologists can play in reducing perioperative opioid use and mitigate their adverse effects, from both an individual and a population health perspective. (C) 2019 Elsevier Ltd. All rights reserved.