☆ 4.3 Editorial Material

Editors' note: 2022 Special Issue on postoperative opioid analgesia

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Review Anesthesiology

Perioperative Opioids, the Opioid Crisis, and the Anesthesiologist

Daniel B. Larach et al.

Summary: This article summarizes current evidence on perioperative opioid prescription fulfillment and use, and discusses the role of personalized anesthesia care in mitigating opioid-related harms without compromising analgesia.

ANESTHESIOLOGY (2022)

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A prospective observational study of persistent opioid use after complex foot and ankle surgery

Michelle Verrier et al.

Summary: The study found that patients who regularly used opioids before surgery had a significantly higher probability of continuing opioid use six months after surgery. Preoperative opioid use was positively correlated with persistent postoperative opioid use.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Opioid prescribing and utilization patterns in patients having elective hip and knee arthroplasty: association between prescription patterns and opioid consumption

Bokman Chan et al.

Summary: This study demonstrated that the amount of prescribed opioids is positively related to opioid consumption. Majority of unused opioids are from patients who used opioids for two days or less. Patient satisfaction remains high regardless of the amount of prescribed opioids.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Editorial Material Anesthesiology

Reflections on opioid stewardship and the journey to improving intraoperative storage and handling

Lucie Filteau et al.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Article Anesthesiology

Evaluation of a quality improvement bundle aimed to reduce opioid prescriptions after Cesarean delivery: an interrupted time series study

Isabelle Laksono et al.

Summary: After implementing a quality improvement bundle, opioid prescriptions at discharge following Cesarean delivery significantly decreased at Mount Sinai Hospital in Toronto. This decrease was sustained over the study period, and there were no visits to the postnatal assessment clinic for inadequate pain control.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Variability in discharge opioid prescribing practices for children: a historical cohort study

Naiyi Sun et al.

Summary: The study found that most pediatric patients were prescribed discharge opioids for less than five days, consistent with guidelines for adults. However, there was wide variation in the dosage and duration of opioids prescribed at discharge.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Article Anesthesiology

Preoperative analgesic instruction and prescription reduces early home pain after outpatient surgery: a randomized controlled trial

Jean Selim et al.

Summary: Preoperative analgesic instruction and prescription during anesthesia consultation can reduce the incidence of early postoperative home pain in outpatient surgery. Treatment compliance is higher and there is no statistically significant difference in outcomes between groups.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Article Anesthesiology

Long-term opioid use in seniors following hip and knee arthroplasty in Ontario: a historical cohort study

Ana Johnson et al.

Summary: Canadian seniors undergoing hip and knee replacement surgery often require opioids postoperatively for pain relief, with those living in long-term care facilities being more likely to use opioids chronically. Female sex and comorbidities are also risk factors for prolonged opioid use following joint replacement surgery.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Article Anesthesiology

Trends in postoperative opioid prescribing in Ontario between 2013 and 2019: a population-based cohort study

Naheed K. Jivraj et al.

Summary: The proportion of patients filling an opioid prescription postoperatively remained stable during the study period, but the total morphine milligram equivalent (MME) dose decreased after 2016. Opioid prescribing remained significantly higher than available recommendations, especially for low pain procedures.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Chronic opioid use after joint replacement surgery in seniors is associated with increased healthcare utilization and costs: a historical cohort study

Ana Johnson et al.

Summary: This study aimed to examine the association between duration of postoperative opioid prescriptions and healthcare costs and resource utilization in senior patients following hip and knee replacement. The study found that chronic opioid use after surgery was associated with higher resource utilization and healthcare costs.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Elective surgery in ankle and foot disorders-best practices for management of pain: a guideline for clinicians

Derek Dillane et al.

Summary: This study aimed to develop best practice pain management guidelines for patients undergoing complex elective foot and ankle surgery. A multidisciplinary expert panel was formed and a Delphi process was used to reach consensus on pain management recommendations. Strong consensus was achieved in many areas, indicating considerable agreement among experts despite limited evidence. However, there was no consensus on important issues related to opioid prescribing and cessation, highlighting the need for further research to determine best practices.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Editorial Material Anesthesiology

The other opioid crisis: the situation in low-resource countries

Clare Roques et al.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Article Anesthesiology

Opioid dispensing after Cesarean delivery in British Columbia: a historical cohort analysis from 2004 to 2019

Kimia Ziafat et al.

Summary: This study describes the postdischarge opioid dispensing after Cesarean delivery in 49 hospitals in British Columbia and assesses opportunities for opioid stewardship. The results show a decrease in the opioid dispensation rate after Cesarean delivery, though the decrease has been slow, and there are variations among different hospitals.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Trends in opioid dispensing after common abdominal and orthopedic surgery procedures in British Columbia: a retrospective cohort analysis

Parker Nann et al.

Summary: Postdischarge opioid prescriptions after abdominal and orthopedic surgeries have been increasing in British Columbia. Higher dosage opioids are being prescribed more frequently.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Editorial Material Anesthesiology

The role of anesthesiologists in reducing opioid harm

Ainsley M. Sutherland et al.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2022)

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Editorial Material Anesthesiology

Editors' note: 2021 Special Issue on airway management

Stephan K. W. Schwarz et al.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2021)

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