TheBitCast

THE 5 OPIOIDS YOU ACTUALLY USE IN THE OR │ EP106

Podcast: Atomic Anesthesia · Rhea Temmermand, PhD, CRNA & Sachi Lord, MSN, CRNA

Opublikowano: 2026-08-07

Understanding opioid selection in the OR is all about recognizing pharmacokinetics and how they align with surgical needs and patient factors, rather than focusing solely on receptor effects. This episode explores the five opioids you use most—morphine, fentanyl, sufentanil, remifentanil, and hydromorphone—and offers a framework for choosing optimally among them. Opioid receptor mechanisms and their clinical outcomesLipid solubility's role in opioid kineticsPharmacokinetics of morphine, fentanyl, sufentanil, remifentanil, and hydromorphoneManaging side effects like respiratory depression and opioid-induced hyperalgesiaGuidelines for opioid selection based on case specifics and patient renal function Resources Atomic Anesthesia Platform — In-dep...