TY - JOUR
T1 - Critical care pain management in patients affected by the opioid epidemic
T2 - A review
AU - Karamchandani, Kunal
AU - Carr, Zyad
AU - Bonavia, Anthony
AU - Tung, Avery
N1 - Publisher Copyright:
Copyright © 2018 by the American Thoracic Society.
PY - 2018/9
Y1 - 2018/9
N2 - The rapid rise in the opioid epidemic has had a deleterious impact across the United States. This increase has drawn the attention of the critical care community not only because of the surge in acute opioid overdose-related admissions, but also due to the increase in the number of opioid-dependent and opioid-tolerant patients being treated in the intensive care unit (ICU). Opioid-related issues relevant to the critical care physician include direct care of patients with opioid overdoses, the provision of sufficient analgesia to patients with opioid dependence and tolerance, and the task of preventing long-term opioid dependence in patients who survive ICU care. This review identifies the challenges facing the ICU physician working with patients presenting with opioid-related complications, discusses current solutions, and suggests future areas of research and heightened ICU clinician attention.
AB - The rapid rise in the opioid epidemic has had a deleterious impact across the United States. This increase has drawn the attention of the critical care community not only because of the surge in acute opioid overdose-related admissions, but also due to the increase in the number of opioid-dependent and opioid-tolerant patients being treated in the intensive care unit (ICU). Opioid-related issues relevant to the critical care physician include direct care of patients with opioid overdoses, the provision of sufficient analgesia to patients with opioid dependence and tolerance, and the task of preventing long-term opioid dependence in patients who survive ICU care. This review identifies the challenges facing the ICU physician working with patients presenting with opioid-related complications, discusses current solutions, and suggests future areas of research and heightened ICU clinician attention.
UR - http://www.scopus.com/inward/record.url?scp=85052747048&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052747048&partnerID=8YFLogxK
U2 - 10.1513/AnnalsATS.201801-028FR
DO - 10.1513/AnnalsATS.201801-028FR
M3 - Review article
C2 - 29812953
AN - SCOPUS:85052747048
SN - 2325-6621
VL - 15
SP - 1016
EP - 1023
JO - Annals of the American Thoracic Society
JF - Annals of the American Thoracic Society
IS - 9
ER -