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Review
. 2023 Oct;23(10):389-397.
doi: 10.1016/j.bjae.2023.05.007. Epub 2023 Jul 21.

Opioid stewardship

A K Simpson  1 , N Levy  2 , E R Mariano  3   4
Affiliations
Review

Opioid stewardship

A K Simpson et al. BJA Educ. 2023 Oct.
No abstract available

Keywords: opioid prescribing; opioid-related disorders; opioids; prescription opioid misuse.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig 1
Fig 1
Components of the opioid stewardship surgical care pathway.
Fig 2
Fig 2
Reverse pain ladder to assist opioid weaning after an acute pain episode (including trauma and post-surgical pain) Adapted from Levy and colleagues 2020.
See this image and copyright information in PMC

References

    1. Humphreys K., Shover C.L., Andrews C.M., et al. Responding to the opioid crisis in North America and beyond: recommendations of the stanford–lancet commission. Lancet. 2022;399:555–604. - PMC - PubMed
    1. Kharasch E.D., Clark J.D., Adams J.M. Opioids and public health: the prescription opioid ecosystem and need for improved management. Anesthesiology. 2022;136:10–30. - PMC - PubMed
    1. Crush J., Levy N., Knaggs R.D., Lobo D.N. Misappropriation of the 1986 WHO analgesic ladder: the pitfalls of labelling opioids as weak or strong. Br J Anaesth. 2022;129:137–142. - PubMed
    1. Levy N., Sturgess J., Mills P. “Pain as the fifth vital sign” and dependence on the “numerical pain scale” is being abandoned in the US: why? Br J Anaesth. 2018;120:435–438. - PubMed
    1. Weiner S.G., Price C.N., Atalay A.J., et al. A health system-wide initiative to decrease opioid-related morbidity and mortality. Jt Comm J Qual Patient Saf. 2019;45:3–13. - PubMed

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