Fig. 2
From: The rising tide of opioid use and abuse: the role of the anesthesiologist

New paradigm in analgesia management. The old way of management of pain has relied on opioids as the foundation of pain control, with non-opioid adjuncts added if necessary due to patient condition. In the new way, management of pain begins with non-opioid-based techniques that are evidence based and demonstrated to decrease opioid use