<p>Perioperative Pain Management for Median Sternotomy in a Patient on Chronic Buprenorphine/Naloxone Maintenance Therapy: Avoiding Opioids in Patients at Risk for Relapse</p>

• DOI: 10.2147/jpr.s222885
• Publication Date: 2020-02-04T17:08:55Z
• Authors: Emmanuel Alalade; Jena Bilinovic; Ana Gabriela Walch; Candice Burrier; Christopher Mckee; Joseph Tobias
• Keywords: opioid tolerant patients; Medicine (General); opioid use disorder; Case Report; 3. Good health; 03 medical and health sciences; R5-920; 0302 clinical medicine; addiction; Journal of Pain Research; buprenorphine/naloxone; cardiac surgery

The opioid crisis in the United States has been pandemic. As such, anesthesia providers are frequently faced with patients who have a history of abuse or currently receiving chronic therapy for such disorders. administration medications as buprenorphine-naloxone can impact choice perioperative and pain control. Furthermore, postoperative opioids may lead to relapse abuse. We present 26-year-old male on maintenance buprenorphine-naloxone, presented median sternotomy, cardiopulmonary bypass, pulmonary valve replacement. implications implementation multimodal analgesia discussed, along options decrease eliminate use opioids.