Abstract

Commentary: Everybody hurts, sometimes: ERAS against opioids

Highlights

  • Opioid addiction is a major public health hazard in the United States, where prescription opioid overdoses were responsible for 41 deaths per day in 2018

  • In this issue of JTCVS Open, Hodges and colleagues[3] present their results of a preemptive analgesic Enhanced recovery after surgery (ERAS) protocol for patients undergoing foregut surgery (40%) or lung resection surgery (35%) to evaluate factors associated with postoperative opioid use

  • Patients undergoing thoracic surgery are at high risk for opioid dependence, which may be mitigated by enhanced recovery protocols

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Summary

Introduction

Opioid addiction is a major public health hazard in the United States, where prescription opioid overdoses were responsible for 41 deaths per day in 2018. Patients undergoing thoracic surgery (open and minimally invasive) are at high risk for chronic pain and persistent opioid use,[2] and modifiable risk factors contributing to these problems are not well understood. In this issue of JTCVS Open, Hodges and colleagues[3] present their results of a preemptive analgesic ERAS protocol for patients undergoing foregut surgery (40%) or lung resection surgery (35%) to evaluate factors associated with postoperative opioid use.

Results
Conclusion

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