Life after Addiction—Post-Operative Pain Management in an Obstetrical Patient on Long-Term Buprenorphine Therapy

A G6P2032 female, prior cesarean x3 with history of opioid addiction maintained on buprenorphine presented for scheduled repeat cesarean section. Pre-operatively, her maintenance dose of medication was held secondary to concerns for partial agonist effect. Post-operative pain control was suboptimal with the patient ultimately proceeding to withdrawal. Doses of hydromorphone were titrated to 10 mg every 3 hours to avoid further withdrawal. Review of expert opinion after discharge recommended against holding buprenorphine therapy in the post-operative period. Pain management options include maintenance therapy with additional doses of opioid and non-opioid pain relieving medications.

针刺配合美沙酮改善海洛因戒断综合征临床观察

目的 :观察针刺在美沙酮疗法改善海洛因戒断综合征中的作用。方法 :将 6 0例海洛因依赖者分为治疗组和对照组 ,治疗组给予针刺和美沙酮治疗 ,对照组给予美沙酮治疗。结果 :治疗组戒断症状积分比对照组低 ,差异明显 (P <0 0 5 )。治疗组戒断症状改善明显优于对照组 ,χ2 检验 ,P<0 0 5。结论 :针刺配合美沙酮较为明显地改善戒断症状。