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10.1177/204946370900300204 http://scihub22266oqcxt.onion/10.1177/204946370900300204 C4590043!4590043 !26525109     free     free     free Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26525109 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Rev+Pain 2009 ; 3 (2 ): 10-4 Nephropedia Template TP {{tp|p=26525109 |t=2009. Acute Pain Management in Opioid Dependent Patients |pdf=|usr=}}{{26525109 }} gab.com Text Acute Pain Management in Opioid Dependent Patients JO: Rev Pain http://www.kidney.de/pget.php?&tw=1&pmid=26525109 #FOAvip Acute pain management remains a challenge in opioid dependent patients, and it has been recognised that these patients are commonly under-treated.Chronic opioid exposure leads to widespread adaptations both at cellular and synaptic level.Physical dependence is a neuropharmacological phenomenon as a result of neuroadaptation and neuroplasticity, in contrast to addiction that is both neuropharmacological and behavioural.While providing the patient's pre-existing opioid requirement, the acute pain episode should be managed using additional multimodal analgesia: non-opioid medications in combination with local anaesthetic techniques and as required, short-acting opioid titrated to effect.Patients on long term buprenorphine and methadone with acute pain episode should be continued with their maintenance therapy and an additional short-acting opioid analgesic titrated to achieve therapeutic effect. Twit Text FOAVip Acute Pain Management in Opioid Dependent Patients ????Rev Pain http://www.kidney.de/pget.php?&tw=1&pmid=26525109 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26525109 #FOAvip English Wikipedia <ref>{{Cite pmid|26525109 }}</ref> Acute Pain Management in Opioid Dependent Patients #MMPMID26525109 Mehta V ; Langford R Rev Pain 2009[Oct]; 3 (2 ): 10-4 PMID26525109 show ga Acute pain management remains a challenge in opioid dependent patients, and it has been recognised that these patients are commonly under-treated.Chronic opioid exposure leads to widespread adaptations both at cellular and synaptic level.Physical dependence is a neuropharmacological phenomenon as a result of neuroadaptation and neuroplasticity, in contrast to addiction that is both neuropharmacological and behavioural.While providing the patient's pre-existing opioid requirement, the acute pain episode should be managed using additional multimodal analgesia: non-opioid medications in combination with local anaesthetic techniques and as required, short-acting opioid titrated to effect.Patients on long term buprenorphine and methadone with acute pain episode should be continued with their maintenance therapy and an additional short-acting opioid analgesic titrated to achieve therapeutic effect. äAcute Pain Management in Opioid Dependent Patients (epmc).pdf DeepDyve Pubget Overpricing