Table 1.
Perioperative Pain Management of Patients With OUD in Remission Without Medication
| Preoperative Planning | Inpatient Management | Discharge Planning | |
|---|---|---|---|
| Patients with OUD in remission | High risk for relapse | Consider nonopioid medications | Arrange follow-up with SUD clinic |
| Involve patient and support person for pain management planning, provide education, and discuss risk of relapse | Consider adjuncts therapies | Maximize strategies for relapse prevention | |
| Consider SUD consult | Consider APS and SUD consult | Close follow-up for pain management | |
| Consider OPENP |
Abbreviations: APS, acute pain service; OPENP overdose prevention education and naloxone prescription; OUD, opioid use disorder; SUD, substance use disorder.