Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone
Opiates are routinely used for chronic pain patients, and up to 44% of them will have a prescription for an opiate medication for pain alleviation. However, of the 76 million adults prescribed opiates for pain management, about 12% report misuse, and a large number of these may find themselves addic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2021-01-01
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| Series: | The Surgery Journal |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1722176 |
| _version_ | 1818668377991806976 |
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| author | Amnon A. Berger Ivan Urits Jamal Hasoon Alan D. Kaye Omar Viswanath Jonathan Eskander |
| author_facet | Amnon A. Berger Ivan Urits Jamal Hasoon Alan D. Kaye Omar Viswanath Jonathan Eskander |
| author_sort | Amnon A. Berger |
| collection | DOAJ |
| description | Opiates are routinely used for chronic pain patients, and up to 44% of them will have a prescription for an opiate medication for pain alleviation. However, of the 76 million adults prescribed opiates for pain management, about 12% report misuse, and a large number of these may find themselves addicted to opioid medications. Opioid addiction is an ongoing epidemic, costing many lives. Withdrawal is very difficult. This requires providers to consider alternative analgesic plans and minimize opiate use. Here we report the use of a dexamethasone-dexmedetomidine combination for a regional nerve block in an elderly woman chronically treated with opiate medications who had previously failed opiate weaning. Following her nerve block, she was able to completely wean off of opioids and continues having good pain control with an opioid-free regimen. |
| first_indexed | 2024-12-17T06:35:22Z |
| format | Article |
| id | doaj.art-ef1c50b86eae46cc977139bf63a2fa71 |
| institution | Directory Open Access Journal |
| issn | 2378-5128 2378-5136 |
| language | English |
| last_indexed | 2024-12-17T06:35:22Z |
| publishDate | 2021-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | The Surgery Journal |
| spelling | doaj.art-ef1c50b86eae46cc977139bf63a2fa712022-12-21T22:00:01ZengThieme Medical Publishers, Inc.The Surgery Journal2378-51282378-51362021-01-010701e1e210.1055/s-0040-1722176Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and DexamethasoneAmnon A. Berger0Ivan Urits1Jamal Hasoon2Alan D. Kaye3Omar Viswanath4Jonathan Eskander5Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MassachusettsDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MassachusettsDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MassachusettsDepartment of Anesthesiology, Louisiana State University Health Shreveport, Shreveport, LouisianaValley Anesthesiology and Pain Consultants – Envision Physician Services, Phoenix, ArizonaAnesthesiology and Pain Medicine, Portsmouth Anesthesia Associates, Portsmouth, VirginiaOpiates are routinely used for chronic pain patients, and up to 44% of them will have a prescription for an opiate medication for pain alleviation. However, of the 76 million adults prescribed opiates for pain management, about 12% report misuse, and a large number of these may find themselves addicted to opioid medications. Opioid addiction is an ongoing epidemic, costing many lives. Withdrawal is very difficult. This requires providers to consider alternative analgesic plans and minimize opiate use. Here we report the use of a dexamethasone-dexmedetomidine combination for a regional nerve block in an elderly woman chronically treated with opiate medications who had previously failed opiate weaning. Following her nerve block, she was able to completely wean off of opioids and continues having good pain control with an opioid-free regimen.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1722176pain therapychronic painopioid withdrawaldex-dex |
| spellingShingle | Amnon A. Berger Ivan Urits Jamal Hasoon Alan D. Kaye Omar Viswanath Jonathan Eskander Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone The Surgery Journal pain therapy chronic pain opioid withdrawal dex-dex |
| title | Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone |
| title_full | Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone |
| title_fullStr | Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone |
| title_full_unstemmed | Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone |
| title_short | Pain Alleviation and Opioid Weaning in an 80-Year-Old with Chronic Foot Pain Following Injection Therapy with Perineural Dexmedetomidine and Dexamethasone |
| title_sort | pain alleviation and opioid weaning in an 80 year old with chronic foot pain following injection therapy with perineural dexmedetomidine and dexamethasone |
| topic | pain therapy chronic pain opioid withdrawal dex-dex |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1722176 |
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