To Stop or Not, That Is the Question: Acute Pain Management for the Patient on Chronic Buprenorphine

T Anthony Anderson; Aurora N A Quaye; E Nalan Ward; Timothy E Wilens; Paul E Hilliard; Chad M Brummett

doi:10.1097/ALN.0000000000001633

To Stop or Not, That Is the Question: Acute Pain Management for the Patient on Chronic Buprenorphine

Anesthesiology. 2017 Jun;126(6):1180-1186. doi: 10.1097/ALN.0000000000001633.

Authors

T Anthony Anderson¹, Aurora N A Quaye, E Nalan Ward, Timothy E Wilens, Paul E Hilliard, Chad M Brummett

Affiliation

¹ Department of Anesthesia, Critical Care and Pain Medicine (T.A.A., A.N.A.Q.), and Department of Psychiatry (E.N.W., T.E.W.), Massachusetts General Hospital, Boston, Massachusetts; and Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan (P.E.H., C.M.B.).

Abstract

The management of acute perioperative pain in patients on chronic buprenorphine as opioid maintenance therapy is a complex process. We describe pain management approaches for patients on buprenorphine who present for elective and urgent/emergent surgery.

Publication types

Review

MeSH terms

Analgesics, Opioid / therapeutic use*
Buprenorphine / therapeutic use*
Chronic Disease
Humans
Opioid-Related Disorders / drug therapy*
Pain / drug therapy*
Pain Management / methods*

Substances

Analgesics, Opioid
Buprenorphine

Grants and funding

R01 DA042859/DA/NIDA NIH HHS/United States