ArticleOrthopedic reviews2026
Managing Acute Surgical Pain in Patients on Buprenorphine: A Case-Based Learning Module.
Article in Orthopedic reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- An Individualized, Interdisciplinary Approach to the Perioperative Care of Patients on Buprenorphine.Current pain and headache reports · 2026Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Perioperative pain management in patients maintained on buprenorphine for opioid use disorder presents unique challenges, particularly in urgent surgical settings where proper planning and traditional opioid-based strategies may be ineffective. High-affinity partial μ-opioid receptor binding limits the analgesic efficacy of full opioid agonists often necessitating multimodal approaches. Case Description: This manuscript presents a fictional teaching case developed exclusively for educational purposes involving a 55-year-old patient maintained on buprenorphine-naloxone who requires emergency lower-extremity surgery following a traumatic injury. The case illustrates the use of regional anesthesia combined with ketamine, to achieve effective perioperative analgesia while continuing baseline buprenorphine therapy. Educational Value: The case is accompanied by teaching points and multiple-choice practice questions focused on the mechanisms of action of local anesthetics and ketamine, as well as perioperative considerations for buprenorphine management. This teaching case is designed to reflect a highly plausible real-world clinical scenario encountered in orthopedic trauma and perioperative pain management. Conclusion: This educational case highlights practical perioperative pain management strategies for patients receiving buprenorphine. This scenario does not represent a real patient encounter and is intended solely as a teaching tool for trainees and clinicians.
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Registered trials
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