title: Management of Patients on Abuse-Deterrent Opioids in the Ambulatory Surgery Setting.
abstract: OBJECTIVE
  The use of prescription opioids for acute and chronic pain has become more prevalent than ever, and concurrent with the increased prescribing of opioids, there has been a steady increase in opioid abuse. Abuse is commonly associated with physical or chemical manipulation of the original opiate to provide more rapid onset of the active ingredient.
  
  
  RESULTS
  This growing national public health concern has led to the development of various abuse-deterring opioids with the intent of decreasing the diversion of opioids from their prescribed use. Given the ever-increasing percentage of surgeries performed in the ambulatory surgery setting, anesthesia providers will inevitably encounter more and more patients taking these new opioid formulations with abuse-deterring properties. Consequently, a thorough understanding of these medications is vital for optimal anesthetic management. This article reviews the scope of the problem of prescription opiate abuse, summarizes the currently available abuse-deterring opioids, and discusses the anesthetic management of patients who are taking these new medications in the outpatient setting.
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA. Nalini.vadivelu@yale.edu.
authors.forename: Nalini
authors.initials: N
authors.lastname: Vadivelu
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Chang
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA.
authors.forename: Leandro
authors.initials: L
authors.lastname: Lumermann
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Suchy
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Burg
authors.affiliation: Department of Anesthesiology, Yale University, 333 Cedar street, TMP 3, New Haven, CT, 05620, USA.
authors.forename: Manuel L
authors.initials: ML
authors.lastname: Fontes
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D006801:Humans; D009293:Opioid-Related Disorders
chemical_list: D000701:Analgesics, Opioid
keywords: Abuse-deterring opioids; Ambulatory surgery; Chronic pain; Opiate abuse; Opiate misuse; Pain management