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Opioid Crisis
Lead Guest Editor:
Sergio Bergese
Department of Anesthesiology, the Ohio State University Wexner Medical Center, Columbus, USA
Guest Editors
Nicoleta Stoicea
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Alberto Uribe
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Juan Fiorda-Diaz
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Laura Puertas
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Suren Soghomonyan
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Barbara Rogers
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Wiebke Ackermann
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Michael Essandoh
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Gurneet Sandhu
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Michael Guertin
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Sophallyda Krouch
Department of Anesthesiology, the Ohio State University Wexner Medical Center
Columbus, USA
Marco Echeverria
Anesthesiology Postgraduate Program. Faculty of Medicine, University of Zulia
Maracaibo, Venezuela
Victor Navarrete
Department of Anesthesiology, Cira García, Central Clinic
Havana, Cuba
Fabrizzio Sacchet-Cardozo
Faculty of Medicine, Republic University, Clinics Hospital Dr. Manuel Quintela
Montevideo, Uruguay
Byron R. Rosero-Britton
Department of Anesthesiology, University Foundation of Health Sciences
Bogota, Colombia
Lidia Moro
Anaesthesiology Department, Vall d’Hebron Hospital
Barcelona, Spain
Introduction
Over the years, opioids have been widely administered for acute and chronic pain control. Their proved efficacy and their ability to early prevent the onset of some mechanisms associated with chronic pain are some of the pharmacological properties that make them a suitable choice for surgical and non-surgical pain management. However, long-term use of these medications has been associated with important dependency and subsequent abuse.

In the United States, unauthorized distribution and over prescription are probably the main factors that have contributed to an unseen level of opioid misuse within the last 2 decades. Since 1999, opioid-related deaths have quadrupled. Not it vain, seeking of a feasible short and long-term solution to this opioid crisis has become a nationwide priority considering the high ancillary costs to the health care system and society.

For this upcoming issue, we aim to offer a comprehensive overview of the different variables involved in opioids use and misuse including:

Description of current guidelines for perioperative pain management
Correlation of opioid administration with important clinical entities (i.e. postoperative delirium and opioid-induced hyperalgesia)
Transitional care of patients under opioid treatment
Opioid leftovers
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