Table 6.

Perioperative Pain Management of Patients With OUD With Continuous Use

	Preoperative Planning	Inpatient Management	Discharge Planning
Patients with OUD, with continuous use	Plan for inpatient opioid withdrawal management and initiate medication for OUD with patient consent	Obtain SUD consult	Arrange outpatient follow-up for OUD treatment and pain management
		Manage OUD withdrawal/craving with methadone or bup-nx	Maximize recovery support efforts
		Involve patient and support person to initiate OUD treatment	Consider OPENP
		Management of pain should be like persons who are on methadone or bup-nx treatment

Abbreviations: bup-nx, buprenorphine-naloxone; OPENP overdose prevention education and naloxone prescription; OUD, opioid use disorder; SUD, substance use disorder.