Jennifer M. Taylor, MD, MPH, presented “New Strategies for Post-Operative Pain Management” during the 24th Annual Innovations in Urologic Practice on September 13, 2019 in Santa Fe, New Mexico.
How to cite: Taylor, Jennifer M. “New Strategies for Post-Operative Pain Management” September 13, 2019. Accessed Feb 2020. https://grandroundsinurology.com/new-strategies-for-post-operative-pain-management/
New Strategies for Post-Operative Pain Management – Summary:
Jennifer M. Taylor, MD, MPH, discusses the factors that led to the current opioid epidemic and the consequences of excessive perioperative opioid prescribing. She then identifies concrete and evidence-based strategies to reduce opioid prescribing and use in particular surgical cases.
The use and abuse of opioids has increased dramatically over the last several decades, compounded by marketing, biased scientific reports, and cultural and societal factors. Medical prescribing for treating postoperative pain contributes a large proportion to the annual opioid prescribing in the United States.
The consequences of excessive opioid prescribing include chronic opioid use and dependence, increasing the risk of opioid-related adverse events (ORADEs), such as hypotension, respiratory depression, altered mental status, and urinary retention. Risk factors for postoperative chronic opioid use include depression, male gender, 50 years or more of age, a high Charlson Comorbidity Index, and preoperative substance abuse disorder and/or benzodiazepine or antidepressant use. Strategies already being implemented in many centers include principles from Enhanced Recovery After Surgery (ERAS).
This presentation will review regional anesthesia techniques, such as epidural anesthesia and peripheral nerve block techniques. It will also provide samples of protocols and algorithms for postoperative pain management and will offer suggestions for implementing a system at your institution.
About the 24th Annual Innovations in Urologic Practice
Innovations in Urologic Practice (Innovations) is an annual, multi-day, CME-accredited conference devoted to innovative diagnostic and treatment strategies for and controversies related to some of the most common urologic problems in the current era. The topics covered include oncological management of the bladder, kidney, and prostate. The conference also emphasizes general urology topics in pelvic reconstruction and trauma, men’s health, and infections in the urology patient. Dr. Taylor presented this lecture during the 24th Innovations in 2019. Please visit this page in order to register for future Innovations meetings.