top of page

Annotated Bibliographies

Bibliography #1

 

Pino, Carlos A, and Melissa Covington. “Prescription of Opioids for Acute Pain in Naive Patients.” UpToDate, 14 May 2019, www.uptodate.com/contents/prescription-of-opioids-for-acute-pain-in-opioid-naive-patients.

​

This source discusses different ways we can decrease the opioid addiction in America starting with prescription opioids for post-operative surgery. By using a combination of nonpharmacological methods like heating, icing and elevation; only prescribing opioids when necessary, and utilizing multi-modal pain control methods, we can heavily reduce the abuse of opioids. A study shows that “over 70 percent obtain opioids through diversion, and 40-50 percent receive the drug from family members or friends who have leftover pills… overprescription can also lead to overconsumption”(Pino and Covington 1).  This source supports my question of Are opioids necessary to counter pain post-op by discussing the different alternatives to opioids and how/why we should begin to rely on them less. I believe this source does an excellent job thoroughly describing how serious the opioid crisis is and actions we can take to minimize addiction in America.

 

Annotated Bibliographies

Bibliography #2

Burling, Stacey. “How Doctors Are Reducing Opioid Use after Surgery.” Https://Www.inquirer.com, The Philadelphia Inquirer, 31 Mar. 2017, www.inquirer.com/philly/health/addiction/How-doctors-are-reducing-opioid-use-after-surgery.html.

​

This source discusses multimodal methods being used nationwide now, and what the patients and surgeons can do pre-op to prevent the prescription and mis-use of opioids. For example, a prevalent method that has been more commonly used are regional blocks for most orthopedic surgeries. Regional blocks are an injection of local anesthetic into a specific part of the body at the root of the nerve, for optimal pain control. These regional blocks help patients have up to five days of pain control with one shot of a numbing medication. One of the many anesthesiologists mentioned in the passage, Ed Mariano, says that, “he thinks the blocks, which reduce opioid use, and allow patients to sleep better and start physical therapy faster, have proven their value and should be used more often” (Burling 1). This source acknowledges different experts on the topic, which brings a sense of credibility to this article. This article also describes physicians' negative and positive encounters with their patients regarding pain control methods. In the hospital I observe in, we utilize most of the methods described in the document. For example, the author explains methods like: giving patients pills like Lyrica or intravenous tylenol in pre-op, doctors prescribing fewer pills at a time, regional blocks, and having patients understand the risk of opioid abuse. By including these methods, the hope is that it will help reduce opioid addiction.

​

​

​

 

 

 

 

 

 

 

​

 

 

 

 

 

 

 

 

 

Bibliogography #3

Anson, Pat. “Post-Surgical Pain Guidelines Reduce Use of Opioids.” Pain News Network, Pain News Network, 18 Feb. 2016, www.painnewsnetwork.org/stories/2016/2/18/guidelines-for-post-surgical-pain-discourage-use-of-opioids.

 

This source begins by discussing a study in which two dozen experts reviewed medical cases regarding post-operative pain and they adopted a majority of the pain-reducing options. The author also included APS and CDC guidelines on recommended pain management methods like epidurals, using NSAIDS and prescribing drugs like Lyrica which have a lower opioid addiction rate. Anson states “Like the CDC guidelines, the APS guidelines encourage the use of non-pharmacological therapies and non-opioid medications, such as acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), gabapentin (Neurontin) and pregabalin (Lyrica). Those treatments would be used along with opioids for postoperative pain” (Anson 1). This source that I used, the Pain News Network, is a nonprofit charity website, and the intentions are to educate the public on chronic pain and pain management. I believe that this source is credible because not only does it include guidelines from the American Pain Society (APS), and the Centers for Disease Control and Prevention (CDC), but the author incorporated advice from an expert researcher on opioid prescribing who wrote guidelines for the CDC, Roger Chou MD.

​

​

​

​

bottom of page