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. 2023 Jan-Feb;17(1):e67-e71.
doi: 10.1097/ADM.0000000000001024. Epub 2022 Jul 22.

Perioperative Management of Extended-release Buprenorphine

Thomas R Hickey  1 , Jonathan T Henry, Ellen L Edens, Adam J Gordon, Gregory Acampora
Affiliations

Perioperative Management of Extended-release Buprenorphine

Thomas R Hickey et al. J Addict Med. 2023 Jan-Feb.

Abstract

Perioperative management of buprenorphine is increasingly characterized by continuation of buprenorphine throughout the perioperative period while coadministering full agonist opioids for analgesia. Although this "simultaneous strategy" is commonly used for the shorter-acting sublingual buprenorphine formulations, there is little to guide management of the extended-release formulations of buprenorphine. Here we report the perioperative experience of an individual maintained on extended-release buprenorphine who successfully underwent major surgeries utilizing a strategy of performing the surgeries at the time of the next scheduled dose.

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