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Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia

Joos, Jessica Kayla
http://rave.ohiolink.edu/etdc/view?acc_num=otbn1713811914450776

Abstract Details

2025, DNP, Otterbein University, Nursing.
Opioids have highly addictive properties that allow for high levels of misuse. Since the early 1990s, the misuse and deaths rates related to narcotics have steadily risen in the United States. Efforts to identify individuals using opioids prior to surgery have proven difficult. The number of patients misusing opioids and reporting for surgery can only be estimated due to under-reporting related to fear and self-stigma. With 50 million surgeries in the U.S. annually and 3.32 million people misusing opioids monthly, the chances of a patient with Opioid Use Disorder (OUD) presenting for anesthesia are exceptionally high. Moreover, patients who rate pain higher throughout their hospital stay are more likely to have longer stays and be readmitted for pain issues. Notably, the average readmission cost is $15,200 for the patient. Issues with anesthetizing patients who chronically misuse opioids include cardiac dysrhythmias, respiratory complications, death from acute intoxication, higher opioid requirements postoperatively, prolonged hospital stays and increased readmission rates. The project serves to evaluate current literature to provide direct guidelines for implementation for OUD. The providers will be given a set of guidelines for adaption into practice. The success of the project will be measured by the outcomes of amount of opioids used, the length of stay, and readmission rates.
Brian Garrett (Advisor)
Amy Bishop (Committee Member)
Deanna Batross (Committee Member)
39 p.
Medicine; Nursing
anesthesia; opioid tolerance; opioid misuse

Recommended Citations

Citations

  • Joos, J. K. (2025). Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia [Doctoral dissertation, Otterbein University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1713811914450776

    APA Style (7th edition)

  • Joos, Jessica. Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia. 2025. Otterbein University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=otbn1713811914450776.

    MLA Style (8th edition)

  • Joos, Jessica. "Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia." Doctoral dissertation, Otterbein University, 2025. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1713811914450776

    Chicago Manual of Style (17th edition)

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© 2024, some rights reserved.Creative Commons License Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia by Jessica Kayla Joos is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by Otterbein University and OhioLINK.