Disposal of Unused Postoperative Opioids: A Real-World Demonstration of Surgeon-initiated Strategies Using an Activated Charcoal Bag System

Madhuri V. Nishtala, MD,Aos S. Karim, MD, David Melnick, MD, Therese Delarwelle, RN, Elise Lawson, MD, Caprice C. Greenberg, MD, MPH,Tudor Borza, MD, MS

Annals of Surgery Open（2023）

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摘要

Excessive opioid prescribing following surgery creates a reservoir of unused medications available for diversion and abuse. We conducted a cohort study examining the impact of clinic-based, surgeon-initiated strategies using an activated charcoal bag (ACB) system on disposal of unused opioids. Among patients undergoing a variety of general surgery procedures, 67% of those with unused opioids disposed of them using the ACB. Our findings demonstrate practical ways to incorporate opioid disposal into surgical practice as a complement to judicious opioid prescribing.

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opioid disposal,opioid stewardship,surgery

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