Title |
The rising tide of opioid use and abuse: the role of the anesthesiologist
|
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Published in |
Perioperative Medicine, July 2018
|
DOI | 10.1186/s13741-018-0097-4 |
Pubmed ID | |
Authors |
Elena J. Koepke, Erin L. Manning, Timothy E. Miller, Arun Ganesh, David G. A. Williams, Michael W. Manning |
Abstract |
Opioid use has risen dramatically in the past three decades. In the USA, opioid overdose has become a leading cause of unintentional death, surpassing motor vehicle accidents. A patient's first exposure to opioids may be during the perioperative period, a time where anesthesiologists have a significant role in pain management. Almost all patients in the USA receive opioids during a surgical encounter. Opioids have many undesirable side effects, including potential for misuse, or opioid use disorder. Anesthesiologists and surgeons employ several methods to decrease unnecessary opioid use, opioid-related adverse events, and side effects in the perioperative period. Multimodal analgesia, enhanced recovery pathways, and regional anesthesia are key tools as we work towards optimal opioid stewardship and the ideal of effective analgesia without undesirable sequelae. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 4 | 16% |
United States | 3 | 12% |
Mexico | 2 | 8% |
Canada | 2 | 8% |
Colombia | 1 | 4% |
Italy | 1 | 4% |
Indonesia | 1 | 4% |
Unknown | 11 | 44% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 21 | 84% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Scientists | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 173 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 23 | 13% |
Other | 22 | 13% |
Student > Bachelor | 13 | 8% |
Researcher | 12 | 7% |
Student > Master | 11 | 6% |
Other | 26 | 15% |
Unknown | 66 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 61 | 35% |
Nursing and Health Professions | 18 | 10% |
Biochemistry, Genetics and Molecular Biology | 7 | 4% |
Chemistry | 2 | 1% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 1% |
Other | 12 | 7% |
Unknown | 71 | 41% |