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Tutorial 370

Perioperative Management of Opioid Use Disorder Patients on Buprenorphine/Naloxone

Drs. Alan Tung1, Clinton Wong2, Nadia Fairbairn3
1Anesthesia Resident, St. Paul’s Hospital, Canada
2Clinical Professor, Division of Acute and Interventional Pain Management, Department of Anesthesiology, St. Paul’s Hospital, Canada
3Assistant Professor, British Columbia Centre on Substance Use, Division of AIDS, Department of Medicine, St. Paul’s Hospital, Canada

Edited by
Dr. Amanda Baric
Anaesthetist, Department of Anaesthesia & Perioperative Medicine, Northern Health

Correspondence to atotw@wordpress-1154955-4022140.cloudwaysapps.com

9th Jan 2018

Abstract

Buprenorphine/naloxone (i.e. Suboxone®, Zubsolv®, Bunavail®) is an increasingly popular evidence-based therapy for opioid use disorder. This tutorial describes its unique pharmacology, the challenges it poses to anesthetic management and the strategies for providing perioperative analgesia to patients on buprenorphine/naloxone.