Faculty Collaboration Database

Preoperative Management of Opioid and Nonopioid Analgesics: Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement. Mayo Clin Proc 2021 May;96(5):1325-1341

Date

02/24/2021

Pubmed ID

33618850

DOI

10.1016/j.mayocp.2020.06.045

Scopus ID

2-s2.0-85101113964 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

There is a lack of guidelines for preoperative dosing of opioid and nonopioid pain medications for surgical patients, which can lead to suboptimal preoperative pain control. The Society for Perioperative Assessment and Quality Improvement identified preoperative dosing of opioid and nonopioid analgesics as an area in which consensus could improve patient care. The aim of this guideline is to provide consensus that will allow perioperative physicians to make optimal recommendations regarding preoperative pain medication dosing. Six categories of pain medications were identified: opioid agonists, opioid antagonists, opioid agonist-antagonists, acetaminophen, muscle relaxants, and triptans/headache medications. We then used a Delphi survey technique to develop consensus recommendations for preoperative dosing of individual medications in each of these groups.

Author List

O'Rourke MJ, Keshock MC, Boxhorn CE, Correll DJ, O'Glasser AY, Gazelka HM, Urman RD, Mauck K

Author

Christine Boxhorn MD Assistant Professor in the Anesthesiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Analgesics, Non-Narcotic
Analgesics, Opioid
Delphi Technique
Dose-Response Relationship, Drug
Drug Administration Schedule
Drug Dosage Calculations
Humans
Pain, Postoperative
Preoperative Care
Quality Improvement