ISSN : 2146-3123
E-ISSN : 2146-3131

Perioperative Management of Patients on Buprenorphine and Methadone: A Narrative Review
Yasmin Sritapan1, Sean Clifford1, Alexander Bautista1
1Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, Kentucky, USA
DOI : 10.4274/balkanmedj.galenos.2020.2020.5.2
Pages : 247-252


The opioid epidemic has emerged as a major health and social problem over the last few decades. An increasing number of patients with opioid use disorder are presenting for perioperative management. These patients are either on buprenorphine or methadone for the maintenance and treatment of opioid addiction or chronic pain. In the settings of acute pain, the optimal management of patients with opioid use disorder is challenging, and recovery can be jeopardized secondary to the unique pharmacology of these agents. The purpose of this narrative review is to summarize the existing studies on the perioperative management of patients who are using buprenorphine and methadone and provide guidance for the management of patients with opioid use disorder during the perioperative period.

Keywords : Buprenorphine, chronic pain, methadone, opioid use disorder, perioperative management, surgery
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