Methadone for perioperative pain management

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Thu, 10/05/2023 - 14:54
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Thomas Crawford...
Thomas Crawford Gwin, III's picture
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Joined: 12/08/2017 - 16:17
Methadone for perioperative pain management

We have recently had a few of our orthopedists and anesthesiologists inquire about using low dose methadone peri-operatively at doses of 0.1-0.3mg/kg and was curious if any of your facilities had any related experiences you'd care to share. Obviously, with methadone's t1/2 of 12-60 hours, even considering using long-acting opioids for acute pain management gives me significant pause,b ut would also be concerned about QTc effects with increased methadone use. Thoughts?

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