Literature DB >> 34390369

Procedural moderate sedation in patients with opioid addiction and chronic pain: a practical primer for the radiologist.

Kendall Downer1, Constantine Burgan2, Carolyn E Kezar1, Samuel J Galgano3.   

Abstract

Opioid use disorder and chronic pain are increasingly commonly encountered in medicine and many patients now are prescribed medications (such as buprenorphine) to help treat these conditions. Many radiologists are unfamiliar with how these medications work and how they impact providing procedural sedation during procedures in the radiology department. The focus of this manuscript is to provide radiologists background and guidance on how these medications interact with medications given for procedural sedation and the appropriate management strategy for patients with opioid use disorder and chronic pain who require procedural sedation.
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Entities:  

Keywords:  Biopsy; Buprenorphine; Chronic pain; Moderate sedation; Opioid; Procedure

Mesh:

Substances:

Year:  2021        PMID: 34390369     DOI: 10.1007/s00261-021-03242-1

Source DB:  PubMed          Journal:  Abdom Radiol (NY)


  8 in total

Review 1.  Perioperative Management of Buprenorphine: Solving the Conundrum.

Authors:  Aurora Naa-Afoley Quaye; Yi Zhang
Journal:  Pain Med       Date:  2019-07-01       Impact factor: 3.750

Review 2.  Acute pain management for patients receiving maintenance methadone or buprenorphine therapy.

Authors:  Daniel P Alford; Peggy Compton; Jeffrey H Samet
Journal:  Ann Intern Med       Date:  2006-01-17       Impact factor: 25.391

Review 3.  Buprenorphine Pharmacology Review: Update on Transmucosal and Long-acting Formulations.

Authors:  Marion A Coe; Michelle R Lofwall; Sharon L Walsh
Journal:  J Addict Med       Date:  2019 Mar/Apr       Impact factor: 3.702

Review 4.  Perioperative Considerations for the Patient with Opioid Use Disorder on Buprenorphine, Methadone, or Naltrexone Maintenance Therapy.

Authors:  Thomas Kyle Harrison; Howard Kornfeld; Anuj Kailash Aggarwal; Anna Lembke
Journal:  Anesthesiol Clin       Date:  2018-07-11

Review 5.  Acute pain management in opioid-tolerant patients: a growing challenge.

Authors:  C A Huxtable; L J Roberts; A A Somogyi; P E MacIntyre
Journal:  Anaesth Intensive Care       Date:  2011-09       Impact factor: 1.669

Review 6.  Buprenorphine maintenance and mu-opioid receptor availability in the treatment of opioid use disorder: implications for clinical use and policy.

Authors:  Mark K Greenwald; Sandra D Comer; David A Fiellin
Journal:  Drug Alcohol Depend       Date:  2014-08-19       Impact factor: 4.492

7.  Blocking mu opioid receptors in the spinal cord prevents the analgesic action by subsequent systemic opioids.

Authors:  Shao-Rui Chen; Hui-Lin Pan
Journal:  Brain Res       Date:  2006-02-24       Impact factor: 3.252

8.  Acute Care, Prescription Opioid Use, and Overdose Following Discontinuation of Long-Term Buprenorphine Treatment for Opioid Use Disorder.

Authors:  Arthur Robin Williams; Hillary Samples; Stephen Crystal; Mark Olfson
Journal:  Am J Psychiatry       Date:  2019-12-02       Impact factor: 18.112

  8 in total

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