Techniques in Regional Anesthesia & Pain Management
Volume 9, Issue 4 , Pages 228-234, October 2005

Ordering and interpretation of urine toxicology specimens in patients treated with opioids

  • Julie A. Sorensen, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Julie A. Sorensen, MD, Pain Management Center, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
    • ,
  • Gilbert J. Fanciullo, MD, MS

Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

We come from the perspective that opioids are efficacious in the management of nonterminal chronic pain. Responsible care within such a model requires that pain management physicians are adequately familiar with the broad ordering and interpretation of urine toxicology specimens, and especially with interpretation specific to issues of opiate use, addiction, and diversion as commonly seen in the course of clinical care, including risk assessment. This article provides an overview of these and related concerns.

Keywords:  Chronic pain , Pain management , Urine toxicology

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1084-208X(05)00088-1

doi:10.1053/j.trap.2005.10.009

Techniques in Regional Anesthesia & Pain Management
Volume 9, Issue 4 , Pages 228-234, October 2005

Article Tools