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Volume 9- No. 10 2021

Educated Hand Publishing LLC 
“The Science Behind the Art” 
Volume 9 - No.10 2021 

 Anesthesia eJournal - Online
ISSN 2333-2611

Page 19

Perioperative Management of a Patient Receiving Suboxone® 
Hayden Hipps, BSN, RN   

Affiliation:
Texas Christian University 

Grant/Financial Support: 
None 

Biographical data:  
Hayden Hipps is a Registered Nurse who is currently enrolled in Texas Christian University’s Nurse Anesthesia program. 

KEYWORDS: Suboxone, buprenorphine-naloxone, pain management, postoperative pain, perioperative pain.

Abstract
The use of Suboxone® in the treatment of opioid addition and/or chronic pain is gaining popularity, and these patients 
are presenting for surgery more frequently than ever before. The perioperative case management of these patients 
is complex, especially when they present for elective outpatient surgical procedures.1,3,4,5 This case study evaluated 
the techniques utilized for analgesia during the preoperative, intraoperative, and postoperative period for a patient 
undergoing a total laparoscopic hysterectomy. Analysis of this case and a review of complementary research articles, 
revealed that perioperative continuation of suboxone therapy paired with administration of a multimodal analgesia 
technique, resulted in higher patient satisfaction ratings, a decreased length of hospital stay, and a reduced incidence 
of chronic pain develop.1,2,3,4,5 These findings are limited to outpatient surgical procedures when postoperative pain is 
expected to be mild/moderate thus, it is imperative that the anesthesia plan be tailored to the individual patient and 
surgical procedure after analysis of the risks vs benefits profile. 

AEJ