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Implementing opioid stewardship

Coordinating all the different aspects of opioid stewardship can be challenging. The scope ranges from the pre-assessment clinic, to patient-specific anaesthetic techniques, to advice and support on discharge home after …

What is opioid stewardship?

In this article, Dr Nicholas Levy, Consultant in Anaesthesia and Acute Pain at West Suffolk Hospital, and Dr Anna Simpson, Consultant in Anaesthesia at Gloucestershire Hospitals NHS Foundation Trust, outline …

Welcome to Week 3

Welcome back to our third and final week of Opioids and Surgery! As you have learned in the previous two weeks, opioids remain a crucial component of surgical pain management, …

Individual characteristics of opioid drugs

In this step, Dr Thomas Reed, Core Anaesthesia Trainee at Kings College Hospital London, and Dr Dermot McGuckin, Specialty Registrar in Anaesthesia and Pain Medicine at UCLH, discuss how the …

Why do opioids sometimes not work?

You may have been in a situation in which a patient continues to experience severe pain postoperatively in spite of large doses of morphine being administered. Or perhaps you’ve heard …

How do opioids produce analgesia?

In this step, Dr Rachel Coathup, Consultant in Anaesthesia and Acute Pain Medicine at UCLH, and Dr Harriet Scott, Specialty Registrar in Anaesthesia and Pain Medicine at Barts Health, discuss …

What are opioids?

We’ve all heard of opioids. Many of us have prescribed them and most of us have met patients using them. But what are they and why does this matter to …

Persistent postoperative opioid use

In Week 1, Dr Jane Quinlan introduced the concept of PPOU and looked at the case of a patient who found it difficult to stop taking opioids after an elective …

Summary of Week 2

Well done on getting through an intensive week! Hopefully you now have a better understanding of the pharmacokinetic and pharmacodynamic properties of different opioid drugs that determine how they exert …

Welcome to Week 2

Welcome back to the second week of Opioids and Surgery! As discussed last week, opioid use around the time of surgery is often essential to the provision of pain relief …

Persistent postoperative opioid use

In this step, Dr Jane Quinlan, Consultant in Anaesthesia and Pain Medicine at Oxford University Hospitals Trust and Honorary Senior Clinical Lecturer at the University of Oxford, explores the concept …

Global variation in prescribed opioid use

In this step, Dr Fausto Morell-Ducos, Consultant in Anaesthesia and Pain Medicine at University College London Hospitals, discusses how differences in prescribing practices translate into the observed differences in prescribed …

The US prescription opioid epidemic

In this step, Dr Fausto Morell-Ducos, Consultant in Anaesthesia and Pain Medicine at University College London Hospitals, explains how the well-intentioned but ultimately misguided application of palliative care principles to …

Finding the balance

In this step, Professor Kevin Fong OBE, Consultant in Aanaesthesia and Perioperative Medicine at UCLH and Professor of Public Engagement and Innovation at University College London, comments on the clinical …

Is there a problem with opioids and surgery?

In this step, Dr Fausto Morell-Ducos, Consultant in Anaesthesia and Pain Medicine at University College London Hospitals, outlines how the use of opioids in pain management around the time of …