Consider Continuing Buprenorphine in Surgery Patients Who May Need Opioids

October 2019

You'll be asked about perioperative management of chronic buprenorphine for patients with opioid use disorder.

Buprenorphine is often held for surgery...since it binds opioid receptors tightly and may block some effects of other opioids.

But holding buprenorphine raises concerns for the risk of relapse.

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Table of Contents

Anticoagulants Be Prepared to Manage Direct Oral Anticoagulants Around Surgery
Transitions of Care Don't Swap Most Transplant Med Doses 1:1 When Changing Administration Routes
Pain Management Consider Continuing Buprenorphine in Surgery Patients Who May Need Opioids
Fungal Infections Avoid Empiric Fluconazole for Candida auris
Influenza Be Ready With the Latest Advice About 2019-2020 Influenza Immunizations
Antibiotics Expect Cons to Outweigh Pros for the New CAP Antibiotic Lefamulin (Xenleta)
Infectious Diseases Know the Latest Thinking About Preventing Group B Strep in Newborns
E-Cigarettes Watch for Kids and Teens Presenting With Complications from E-Cigarettes
Immunosuppressives Be Aware of New Warnings for Janus Kinase Inhibitors (Xeljanz, etc)
Hospital Practice Know When to Use and When to Avoid Compression Stockings
IBS Watch for Zelnorm's Return for Irritable Bowel Syndrome With Constipation