title: Management of acute pain in patients on treatment with opioids.
abstract: The use of opioids for both benign and cancer-related chronic pain has increased exponentially over the last few years. For this reason, increasing numbers of such patients are presenting for surgery. It is known that continuous use of opioids is associated with an increase in postoperative analgesic requirements. This is believed to be mediated by the development of tolerance and opioid-induced hyperalgesia. Patients treated with opioids have special needs in the perioperative setting and it is the anesthesiologist's responsibility to manage these needs optimally. The aim of the present paper is to briefly orient the reader in the management of postoperative pain in patients chronically treated with licit opioids.
authors.affiliation: Multidisciplinary Pain Management Department. Department of Anesthesiology Critical Care & Pain Management, General University Hospital, Valencia, Spain.
authors.forename: Jose
authors.initials: J
authors.lastname: De Andres
authors.forename: Gustavo
authors.initials: G
authors.lastname: Fabregat-Cid
authors.forename: Juan Marcos
authors.initials: JM
authors.lastname: Asensio-Samper
authors.forename: Nerea
authors.initials: N
authors.lastname: Sanchis-Lopez
authors.forename: Susana
authors.initials: S
authors.lastname: Moliner-Velazquez
mesh_terms: D059787:Acute Pain / Q000188:drug therapy* / Q000601:surgery*; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use*; D004361:Drug Tolerance; D006801:Humans; D059408:Pain Management; D010149:Postoperative Pain / Q000188:drug therapy; D019990:Perioperative Care
chemical_list: D000701:Analgesics, Opioid
keywords: acute pain; chronic opioids; opioid tolerance; opioid-induced hyperalgesia; opioids; pain; postoperative pain