Lancaster Physician Summer 2019 - 15

SUMMER 2019

Enhanced
Recovery After
Surgery
A Multidisciplinary Pain Management Approach to Avoid
Opioid Addiction and Decrease the Length of Hospital Stays

MANDA NULL, DO,

Community Anesthesia Associates

A

s we find ourselves in the midst of an opioid crisis, important initiatives are being
implemented throughout Pennsylvania to
battle the use and abuse of opioids. Opioid
use in the surgical patient was once thought of as a
necessary component, both during the anesthetic and
post-operatively. New research is now in support of
avoiding opioid therapy in surgery to decrease the risk
of complications, reduce the length of hospital stays,
and increase patient satisfaction.
According to the National Institute on Drug Abuse
(NIDA), Pennsylvania providers prescribe opioids to 57
out of 100 patients. More than 25 percent of patients
who are prescribed opioids misuse them, resulting in 10
percent of people developing a use disorder. Five percent
of the patients that abuse opioids transition to heroin
because it is cheaper and more readily available. Sadly,
130 people die daily from opioid overdoses in the USA,
with Pennsylvania seeing a significant increase in drug
overdose deaths at 44 per 100,000 persons in 2017. The
annual cost of opioid addiction is estimated at $78 billion
in treatment and lost labor.1
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LANCASTER

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Lancaster Physician Summer 2019

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