Nurse Anesthetist Articles

Non-narcotic Anesthetic Options for the Actively Addicted Patient


While there is extensive literature regarding anesthesia for the actively addicted patient, there remains very little to guide the perioperative management of the patient in recovery. Developing a better understanding of the unique needs of the patient presenting for surgery who is in recovery from chemical dependency is essential for those involved in the perioperative care of such patients. Some of the issues that arise in this population are similar to those that confound the management of the chronic pain patient, such as tolerance, opioid-induced hyperalgesia, and withdrawal. In addition, many patients in recovery are maintained on methadone and buprenorphine, which can further complicate their perioperative management.  Find out more in book “Perioperative Addiction – Clinical Management of the Addicted Patient.”

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