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Invited Commentary
October 2018

Perioperative Opioid Management—An Opportunity to Put the Genie Back Into the Bottle

Author Affiliations
  • 1Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Surg. 2018;153(10):938. doi:10.1001/jamasurg.2018.2075

Opioid use increased in the United States from the early 1990s until very recently, when opioid prescribing appears to have peaked and declined slightly.1 Many institutions are working hard to put the opioid genie back in the bottle, so to speak, and the perioperative period offers a unique opportunity. The focus is on opioid stewardship, during which opioids are carefully used as part of multimodal pain care while improper and excessive opioid prescribing is avoided. This effort includes identification of patients who are at increased risk for harm associated with the use of opioids, so that care to these patients can be modified to optimize outcomes.

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