A systems approach to the management of acute surgical pain and reduction of opioid use: the approach of Oakville Trafalgar Memorial Hospital

A systems approach to the management of acute surgical pain and reduction of opioid use: the approach of Oakville Trafalgar Memorial Hospital

Can J Surg 2020;63(6):E606-E608 | Full Text | PDF | Appendix

Duncan Rozario, MD

Summary

Surgeons are among the highest prescribers of opioids, accounting for 56% of new starts of opioids in Ontario in 2016.1 At times we may not have an appropriate systems-based approach to the management of acute pain, which may lead to suboptimal management or unintended long-term dependency issues. We present the newly developed integrated systems approach of our Department of Surgery (www.oakvillesurgery.com) to pain management in the setting of acute surgical pain and show how surgeons can make a substantial impact in this important aspect of care.


Accepted Feb. 14, 2020

Acknowledgement: The author thanks Dr. Joseph Kay, retired chief of anesthesiology, for his leadership and guidance to the surgical program as the Acute Pain Service was developed; Dr. Kay graciously and patiently taught many surgeons the art and science of pain control.

Affiliation: From the Oakville Trafalgar Memorial Hospital, Oakville, Ont.

Competing interests: None declared.

DOI: 10.1503/cjs.000719

Correspondence to: D. Rozario, Oakville Trafalgar Memorial Hospital, 3001 Hospital Gate, Oakville, ON L6M 0L8, drozario@haltonhealthcare.com