2021 Annual Meeting Startup & Practice Management Access Pass-Responsible Pain Management in the Outpatient Setting

Responsible Pain Management in the Outpatient Setting

Video Transcription

Video Summary

This talk addresses responsible pain management in outpatient settings, emphasizing its impact on surgical outcomes, safety, and efficiency. Preoperative opioid use correlates with poorer surgical results and higher risks, but tapering opioids pre-surgery can improve outcomes. Multimodal analgesia targets different pain mechanisms (nociceptive, inflammatory, neuropathic) using varied medications, reducing opioid needs. Guidelines limit opioid prescriptions (e.g., Tennessee allows up to 50 morphine equivalents/day for 10 days post-surgery). Continued use of adjunct medications supports opioid tapering. Algorithms help tailor pain management by surgery type and opioid exposure. High-risk patients need screening and specialist intervention for optimal pain control.

Asset Caption

Dr. Andrew Pisansky

Keywords

responsible pain management

preoperative opioid tapering

multimodal analgesia

opioid prescription guidelines

high-risk patient screening