Abstract
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Highlights
• The efficacy of opioids with traditional periodic administration lacks specific delineation, as pertinent outcomes were not elucidated in the respective investigations.
• Multimodal pain management strategies, incorporating non-opioid analgesics such as acetaminophen, NSAIDs, and COX-2 inhibitors, demonstrated noteworthy reductions in opioid utilization and effectively addressed concerns related to dependency across distinct studies.
• Sublingually administered preoperative buprenorphine exhibited procedural simplicity and efficacy in mitigating postoperative pain, as evidenced by diverse empirical investigations.
• Nalbuphine, employed as an intrathecal adjuvant in spinal anesthesia, showcased efficacy in achieving notable pain relief in the context of orthopedic surgical interventions, as corroborated by pertinent studies.
• Low-dose intravenous administration of ketamine exhibited pronounced analgesic efficacy, concurrent with diminished opioid consumption and a morphine-sparing effect, particularly following spine surgeries, as substantiated by a collective body of research.