A patient on buprenorphine for OUD undergoes elective surgery. Which perioperative pain management strategy is most appropriate?
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A
Discontinue buprenorphine 72 hours preoperatively and switch to full opioid agonists
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B
Continue buprenorphine and supplement with multimodal analgesia including higher-dose full opioid agonists if needed
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C
Switch to methadone 24 hours before surgery for better pain control
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D
Use only NSAIDs and regional anesthesia; no opioids should be used with buprenorphine