Saturday, February 29 (18)

4:15–5:15 PM

General Session IV: The Role of the Peripheral Nervous System in the Progression of Acute to Chronic Pain (105)

Acute pain from injury, most commonly studied after surgery, clearly originates in the periphery where sensory nerves are directly injured or bathed with sensitizing substances. Chronic pain after recovery from a peripheral wound can relieved by peripheral nerve block, but does that mean that the peripheral input is not normal? This lecture describes the normal, subacute and chronic response of peripheral nerves after surgery and new data that challenge our notions of where the problem is and a tantalizing approach to how to treat it. Hint – it’s not really about C fibers.

Learning Objectives:

  • Describe the role of different types of sensory fibers in the normal condition and after injury in signaling pain.
  • Challenge classic notions of the types of sensory fibers that underlie chronic pain and allodynia.
  • Report new treatments which could return the peripheral nervous system to normal more rapidly after injury.
3:00 PM–4:00 PM

The Challenge of Translation of Basic Science to New Therapeutics in Pain Medicine (316)

We will investigate the reasons for the poor record of translation of preclinical research to new therapeutics in pain medicine.

Animal Models and Outcome Measures in Pain Research: To What Degree Can They Model Pain?

Gary Brenner

Target Identification to Novel Analgesic Discovery: Failures (and Successes) in Translation

James Eisenach

Rigor and Reproducibility in Preclinical Investigation

Devon Crawford

Learning Objectives:

  • Understand fundamental elements of well-designed fundamental research.
  • Become familiar with utility and limitation of the animal models used for preclinical investigation of nociception/pain.
  • Review failures and successes of translation of preclinical studies in pain.
Co-Presenters:

James C. Eisenach

Devon Crawford

Moderator:

Gary Brenner

3:00 PM–4:00 PM

Headache Rapid-Fire: Headache Management Pearls for the Pain Provider (315)

Headache, facial pain, and interventions commonly are are referred to a pain specialist, as they often are under-represented in pain training. This will be a fast-paced, case-based, audience-involved session focusing on practical clinical pearls in the diagnosis and treatment of headache disorders seen in pain medicine practices.

Headache Rapid-Fire Panel

James Watson, Alexander Feoktistov, Meredith Barad

Learning Objectives:

  • Recognize common headache syndromes seen in pain medicine practices and evidence-based treatment recommendations.
  • Interpret the role of interventional procedures in various headache syndromes.
  • Identify unique treatments appropriate for spontaneous intracranial hypotension headache, cluster headache, severe acute on chronic headache, and refractory chronic daily headaches.
3:00 PM–4:00 PM

Perioperative Opioid Prescribing: A Quantitative and Qualitative Perspective—Getting Prescribers to 'Do the Right Thing' (314)

This session shares the evaluation of perioperative prescribing practices, evidence-based assessment of patient opioid requirements postoperatively, development and implementation of institutional guidelines around opioid prescribing, and qualitative factors that influence provider prescribing at a large academic medical center.

Defining the Problem and Identifying Solutions: Development of and Opioid Stewardship Program

Halena Gazelka

Beyond Discharge: A Qualitative Perspective

Nafisseh Warner

Discharge Prescribing: Impact of Guideline Implementation

Elizabeth Habermann

Learning Objectives:

  • Identify problems and develop solutions to help guide perioperative opioid prescribing.
  • Describe how discharge prescribing guidelines are developed and implemented and how they improve patient care.
  • Assess the dynamics of a team-based approach from a qualitative perspective and how they affect perioperative opioid prescribing.
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