There has been an exponential increase in the prescription of high-dose opioids for the treatment of patients with chronic noncancer pain (3% of the adult US population) (Dahan A, Niesters M, Olofsen E, Smith T, Overdyk F. Opioids. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Ortega R, Stock MC, eds. Clinical Anesthesia. Philadelphia: Lippincott Williams & Wilkins; 2013:501522). This epidemic of opioid use, coupled with an emphasis on aggressive and effective postoperative pain management for patients undergoing surgery, has resulted in increasingly complex postoperative pain management problems for surgical patients and an increase in opioid-related complications for patients with pain patients in general. Expertise in the use of opioids is not only required in the operating room and postoperatively but also when caring for patients with chronic pain in nonsurgical settings.