Long term opioid use in 3.1% of patients after surgery may be appropriateBMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g2165 (Published 19 March 2014) Cite this as: BMJ 2014;348:g2165
- Pradeep Desai, consultant in pain medicine1,
- Tauheedur Shaikh, advanced pain trainee/anaesthetics specialist trainee year 61
- 1Wexham Park Hospital, Slough SL2 4HL, UK
We agree that the inappropriate administration of opioids is harmful,1 2 but likening opioids to “smarties” on the basis of long term opioid use in 3.1% of patients after surgery may be sensationalising an appropriate rate.
Around 10-30% of patients have some chronic postoperative pain,3 with higher rates after thoracotomy. Do opioids have …