Research Article
Volume 11 Issue 6 - 2020
Opioid-Free Perioperative Acute Pain Management in Non-Spinal Orthopedic Procedures
John V Flores1,2, Nicholas A Kerna3*
1Beverly Hills Wellness Surgical Institute, USA
2Orange Partners Surgicenter, USA
3SMC–Medical Research, Thailand
*Corresponding Author:Nicholas A Kerna, POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500.
Received: April 15, 2020; Published: May 13, 2020


Currently, the United States is in the throes of an opioid epidemic. Opioid use disorder (OUD) accounts for significant national, state, and local resource allocation in an attempt to reduce the number of deaths related to opioid overdose. Elective surgeries, such as cosmetic surgery, orthopedic surgery, and dentistry, can expose a patient to opioids, leading to OUD. Orthopedic surgeries are one of the highest volume specialties seeing annually greater than 15 million patients annually. Eliminating the initial or subsequent exposure to opioids from as many contributing sources as possible should significantly alleviate the current opioid epidemic in the United States. However, despite of efforts at the local, state, regional, and federal levels, opioid use disorder and opioid-related overdoses and deaths continue to rise. This research article builds upon the foundational article, “Eliminating Opioid Dependency by Knowing the APTA (Anatomy, Physiology, Treatment, and Assessment) of Pain”, by Flores and Kerna (2020) and published by EC orthopedic. The following paper describes the methodology, findings, and conclusions of a retrospective review of records of prior surgeries with opioid-augmented pain management compared to more recent surgeries with opioid-free pain management in nonspinal orthopaedic surgeries in fifteen voluntary participants (thirteen law enforcement officers and two civilians). The results of this study indicate that opioids are not necessary when using a comprehensive integrative approach for opioid-free perioperative acute pain management of non-spinal orthopedic surgical procedures. Utilizing opioid-free perioperative acute pain management in non-spinal orthopedic procedures is a vital factor in achieving UOD-reduction and curtailing and eliminating the opioid epidemic.

Keywords: Epidemic; Law Enforcement Officer; Opioids; Opioid-Free; Opioid Use Disorder; Pain Management; Peri-Surgical


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Citation: John V Flores and Nicholas A Kerna. “Opioid-Free Perioperative Acute Pain Management in Non-Spinal Orthopedic Procedures”. EC Orthopaedics 11.6 (2020): 22-37.

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