Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain

John Mikhaeil; Kennedy Ayoo; Hance Clarke; Marcin Wąsowicz; Alexander Huang

doi:10.5114/ait.2020.96018

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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abstract:

Review paper

Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain

John Mikhaeil

¹

,

Kennedy Ayoo

¹

,

Hance Clarke

²

,

Marcin Wąsowicz

²

,

Alexander Huang

²

Faculty of Medicine, University of Toronto, Canada

University Health Network – Toronto General Hospital, Canada

Anaesthesiol Intensive Ther 2020; 52, 2: 148–153

DOI: https://doi.org/10.5114/ait.2020.96018

Online publish date: 2020/06/04

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AMA

Mikhaeil J, Ayoo K, Clarke H, Wąsowicz M, Huang A. Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain. Anaesthesiology Intensive Therapy. 2020;52(2):148-153. doi:10.5114/ait.2020.96018.

APA

Mikhaeil, J., Ayoo, K., Clarke, H., Wąsowicz, M.,  & Huang, A. (2020). Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain. Anaesthesiology Intensive Therapy, 52(2), 148-153. https://doi.org/10.5114/ait.2020.96018

Chicago

Mikhaeil, John, Kennedy Ayoo, Hance Clarke, Marcin Wąsowicz,  and Alexander Huang. 2020. "Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain". Anaesthesiology Intensive Therapy 52 (2): 148-153. doi:10.5114/ait.2020.96018.

Harvard

Mikhaeil, J., Ayoo, K., Clarke, H., Wąsowicz, M.,  and Huang, A. (2020). Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain. Anaesthesiology Intensive Therapy, 52(2), pp.148-153. https://doi.org/10.5114/ait.2020.96018

MLA

Mikhaeil, John et al. "Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain." Anaesthesiology Intensive Therapy, vol. 52, no. 2, 2020, pp. 148-153. doi:10.5114/ait.2020.96018.

Vancouver

Mikhaeil J, Ayoo K, Clarke H, Wąsowicz M, Huang A. Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain. Anaesthesiology Intensive Therapy. 2020;52(2):148-153. doi:10.5114/ait.2020.96018.

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Opioid use and prescribing have become a subject of increasing focus and scrutiny. The ongoing “opioid epidemic” in North America has further increased interest in this area. In patients presenting for surgery, the prescribing of opioids during and following admission to hospital is commonplace and has been identified as a potential contributor to the growing opioid problem in North America. This review aims to present the timeline of the “opioid epidemic” as well as to introduce the concept of a “Transitional Pain Service”. The Transitional Pain Service is a multidisciplinary service originating at Toronto General Hospital that employs a multi-faceted approach to monitoring opioid use after discharge from surgery, and aims to safely wean patients from opioids while maintaining effective pain management. This approach and its results will be discussed in this review.

keywords:

Review of the Transitional Pain Service as a method of postoperative opioid weaning and a service aimed at minimizing the risk of chronic post-surgical pain

John Mikhaeil 1 , Kennedy Ayoo 1 , Hance Clarke 2 , Marcin Wąsowicz 2 , Alexander Huang 2

Transitional Pain Service, opioids, analgesia, chronic post-surgical pain, chronic pain, opioid weaning

John Mikhaeil

¹

,

Kennedy Ayoo

¹

,

Hance Clarke

²

,

Marcin Wąsowicz

²

,

Alexander Huang

²