期刊
ANAESTHESIOLOGY INTENSIVE THERAPY
卷 52, 期 2, 页码 148-153出版社
TERMEDIA PUBLISHING HOUSE LTD
DOI: 10.5114/ait.2020.96018
关键词
Transitional Pain Service; opioids; analgesia; chronic post-surgical pain; chronic pain; opioid weaning
Opioid use and prescribing have become a subject of increasing focus and scrutiny. The ongoing opioid epidemic in North America has further increased interest in this area. In patients presenting for surgery, the prescribing of opioids during and following admission to hospital is commonplace and has been identified as a potential contributor to the growing opioid problem in North America. This review aims to present the timeline of the opioid epidemic as well as to introduce the concept of a Transitional Pain Service. The Transitional Pain Service is a multidisciplinary service originating at Toronto General Hospital that employs a multi-faceted approach to monitoring opioid use after discharge from surgery, and aims to safely wean patients from opioids while maintaining effective pain management. This approach and its results will be discussed in this review.
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