Friday, March 8 (18)

5–6 pm

Cutting Edge Science and Clinical Practice: Buprenorphine/Naloxone for Pain and Opioid Use Disorder (215)

Opioid use disorder (OUD) and pain often co-occur, complicating the treatment of each condition. Research relevant to the use of buprenorphine/naloxone for treatment of patients with opioid use disorder and chronic pain will be presented. Participants will learn about approaches for managing patients with OUD while effectively treating pain.

Opioid Use Disorder Cascade of Care and Adoption of Evidence-Based Practices

Kristen Huntley, PhD

The Role of Buprenorphine When Benefit No Longer Outweighs Harm of Long-Term Opioid Therapy for Chronic Pain

William Becker

Acute and Perioperative Pain Management in Patients Taking Buprenorphine

Andrew A. Herring, MD

Learning Objectives:

  • Understand the complexity of diagnosing OUD in the setting of long-term opioid therapy for pain.
  • Describe appropriate treatment approaches for patients with pain and OUD.
  • Understand best practice strategies for the management of acute and perioperative pain for patients on buprenorphine/naloxone and understand the uses of intravenous buprenorphine for acute and perioperative pain.
5–6 pm

The Use of Anesthetic Blocks to Select Patients for Joint Denervation: An Update on the Best Evidence (214)

A discussion of the evidence-base for anesthetic nerve blocks as a tool to predict clinical outcomes following radiofrequency neurotomy for joint pain. The impact of nerve versus intra-articular block, number of blocks, anesthetic volume used, use of contrast agent, and variations in needle tip position will be reviewed.

Medial Branch Nerve Blocks: Evidence-Based Best Practices

Steven P. Cohen, MD

Lateral Branch Nerve Blocks: The Foundational Science and Elements Yet to be Defined

Byron Schneider, MD

Genicular Nerve Blocks: Developments Toward a More Accurate Protoco

Zachary McCormick, MD

Learning Objectives:

  • Review the current diagnostic and clinical outcome literature that addresses medial branch nerve blocks in order to selection patients for radiofrequency neurotomy in the treatment of refractory spinal pain of facet joint origin.
  • Describe the foundational literature that defined an anesthetic block paradigm of the lateral branch nerves in order to anesthetize the posterior sacroiliac joint/dorsal ligaments, and discuss the need for a prognostic studies of lateral branch nerve blocks to determine if such block predict a positive outcome of radiofrequency denervation.
  • Summarize the current state of the evidence for anesthetic genicular nerve blocks and the evolution in protocol optimization that is needed given a recently published anatomic study.
5–6 pm

Obesity and Chronic Pain (213)

Obese patients frequently present with pain complaints and comorbidities that challenge the scope of practice of any single medical specialty. Although the infrastructure for obesity treatment already exists in the realm of pain medicine, the simultaneous management of obesity and chronic pain requires additional office staff and physician training.

Treatment of Chronic Pain in Obese Individuals: Challenges and Solutions

Dmitri Souza, MD PhD

The Aching Fat: Obesity and Chronic Pain

Samer N. Narouze, MD PhD

Learning Objectives:

  • Recognize fundamental relationships between the obesity and chronic pain.
  • Recognize the specifics of interventional and pharmacological management as it applies to obesity and chronic pain.
3:45–4:45 pm

Pain Education: Innovative Solutions (216) Featured

Three novel approaches to providing advanced pain education will be discussed. These educational 'cases' will provide a platform for the exploration of other approaches for educating the broader clinical world in pain management.

Online, Advanced Pain Education for All Clinicians

Steven Richeimer, MD

Primary Care Pain Fellowships

Scott M. Fishman

Project ECHO for Pain Education

Joanna G. Katzman

Learning Objectives:

  • Identify and describe 3 novel programs that provide advanced pain education.
  • Discuss the need for additional pain education that exists throughout the clinical world.
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