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CC BY-NC-ND 4.0 · Sports Med Int Open 2023; 7(01): E1-E8
DOI: 10.1055/a-2051-7756
Review

Perioperative Management in the Collegiate Athlete: An Integrated Approach

Caitlin M. Rugg
1   Orthopedic Surgery, Duke University, Durham, United States
,
Jordan H. Ginder
2   Orthopedics, Duke University, Durham, United States
,
Ananyaa Bharadwaj
2   Orthopedics, Duke University, Durham, United States
,
Rock Vomer 
3   Orthopedics, Division of Sports Medicine, Duke University, Durham, United States
,
Gregory A. Dale
4   Athletics, Duke University, Durham, United States
,
Jennifer Ketterly
2   Orthopedics, Duke University, Durham, United States
,
Hap Zarzour
4   Athletics, Duke University, Durham, United States
,
Annunziato Amendola
2   Orthopedics, Duke University, Durham, United States
,
Brian C. Lau
2   Orthopedics, Duke University, Durham, United States
› Author Affiliations Funding Information Piedmont Grant — SPS 255963
› Further Information
   Permissions and Reprints

Abstract

Collegiate athletes face rigorous physical, academic, and emotional demands. While significant attention has been paid to injury prevention among young athletes in the past two decades, orthopedic injury rates remain high among collegiate athletes, and a significant number will undergo surgical management for injuries each year. In this narrative review, we describe techniques for perioperative management of pain and stress after surgery in collegiate athletes. In particular, we outline pharmacologic and non-pharmacologic management of surgical pain, with a goal of minimizing opiate consumption. We emphasize a multi-disciplinary approach to optimizing post-operative recovery in collegiate athletes help minimize reliance on opiate pain medication. Additionally, we recommend that institutional resources should be harnessed to support athletes in their well-being, from a nutritional, psychological and sleep standpoint. Critical to success in perioperative pain management is the communication among the athletic medicine team members and with the athlete and family to address pain and stress management and encourage timely, safe return to play.

Key words

pain managment - collegiate athletes - multidisciplinary - team based care - opiate reduction


Publication History

Received: 03 November 2022
Received: 24 January 2023

Accepted: 26 January 2023

Article published online:
24 April 2023

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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