ArticleJournal of anesthesia & clinical research2013
Perioperative Pain Management for Patients on Chronic Buprenorphine: A Case Report.
Article in Journal of anesthesia & clinical research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- The perioperative patient on buprenorphine: a systematic review of perioperative management strategies and patient outcomes.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2019Pooled it
- Insurmountable antagonism of human mu opioid receptors by buprenorphine is due to hemi-equilibrium.European journal of pharmacology · 2025Article
- Evaluating the use of sublingual sufentanil in patients with buprenorphine treatment who are undergoing ambulatory surgery: A Prospective Case Report.Orthopedic reviews · 2024Article
- Treating Perioperative and Acute Pain in Patients on Buprenorphine: Narrative Literature Review and Practice Recommendations.Journal of general internal medicine · 2020Review
- Perioperative Management of Patients on Buprenorphine and Methadone: A Narrative ReviewBalkan medical journal · 2020Review
- Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery.Case reports in anesthesiology · 2020Article
- Perioperative Pain and Addiction Interdisciplinary Network (PAIN) clinical practice advisory for perioperative management of buprenorphine: results of a modified Delphi process.British journal of anaesthesia · 2019Article
- Perioperative Management of Buprenorphine: Solving the Conundrum.Pain medicine (Malden, Mass.) · 2019Review
- Article
- Opioid Use Disorders: Perioperative Management of a Special Population.Anesthesia and analgesia · 2018Review
- Case Series of Successful Postoperative Pain Management in Buprenorphine Maintenance Therapy Patients.Anesthesia and analgesia · 2017Article
- To Stop or Not, That Is the Question: Acute Pain Management for the Patient on Chronic Buprenorphine.Anesthesiology · 2017Review
- Novel molecular targets of dezocine and their clinical implications.Anesthesiology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Here we present a patient with a Type I Chiari malformation who was receiving buprenorphine for chronic pain who underwent two separate urogynecologic procedures for removal of vaginal mesh with two different pain management regimens. For the first procedure at an outside hospital, the patient's usual dose of buprenorphine (8 mg sublingual every 8 hours) was continued up through her surgery and then a full opioid receptor agonist was used for postoperative pain management. The patient complained that this resulted in very poor pain control for her in the postoperative period. Prior to her second procedure, which was performed at our institution, buprenorphine was switched to a full opioid agonist (oral hydromorphone 4 mg every 4 to 6 hours, maximum 20 mg per day) for 5 days prior to surgery; postoperative pain was managed with full opioid receptor agonists. The patient again reported suboptimal pain control in spite of substantially increased doses of opioids. This case report highlights the difficulty of perioperative pain management for patients on chronic buprenorphine and emphasizes the need for additional investigation.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.