3:00 PM–4:00 PM Saturday, February 29

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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1:45 PM–2:45 PM Saturday, February 29

Studying the Acute-to-Chronic Pain Transition in Perioperative Patients (310)

Surgical injury typically results in some acute pain but, importantly, also affords a chance of transition into chronic pain and opioid use. This panel will provide a brief overview of the basic mechanisms underlying the transition from acute to chronic pain, with emphasis on pain centralization and psychosocial modulation.

One Protocol Does Not Fit All: Measuring Differences in Pain Processing to Guide Perioperative Care

Kristin Schreiber

When the Pain Really Is in Your Head: How Fibromyalgianess Influences Analgesic Response to Lumbar Spine Surgery and Interventional Pain Procedures

Andrea Nicol

Balancing Opioid Minimization and Optimal Perioperative Pain Management

Jennifer Hah

Learning Objectives:

  • Examine the tremendous variability in pain processing between individuals, which may be partially predicted using brief, well-validated preoperative assessment tools.
  • Illustrate that fibromyalgianess is not just a silly made-up word—it is a concept that time and time again has shown to lead to greater understandings of how centralized pain influences analgesic outcomes from peripherally directed interventions.
  • Determine that risk factors for chronic postoperative pain and opioids are only partially overlapping, and targeted interventions for one outcome may not passively impact the other.
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Moderator:

Andrea Nicol

Co-Presenters:

Kristin Schreiber

Jennifer Hah

11:15 AM–12:15 PM Saturday, February 29

Opioid Therapy 2020: Past, Present, and Future (306)

This session will discuss the challenges surrounding the safe and effective use of opioids in chronic noncancer and cancer pain populations. An update on current evidence on opioid efficacy for chronic noncancer pain will be provided. Opioid treatment guidelines will be reviewed. Additional methods to mitigate risk will be described.

Opioid Safety: Defining and Mitigating Risks

ToNhu Vu

The Role of Opioids in Chronic Pain Management: Assessing the Evidence

David Provenzano

Learning Objectives:

  • Define opioid guidelines for cancer and chronic pain.
  • Employ methods to mitigate risk when using opioids.
  • Characterize current evidence for opioid efficacy in noncancer chronic pain.
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Moderator:

David Provenzano

Co-Presenters:

ToNhu Vu

9:15 AM-10:15 AM Saturday, February 29

Going Deeper into Opioid Deprescribing: Addressing the Concerns of Prescribers and Patients to Optimize Outcomes (302)

This session clarifies the assessment of opioid use behaviors and delivery of individualized, patient-centered opioid reduction strategies across the continuum of opioid use and patient behaviors. The multidisciplinary faculty will summarize the best available evidence and emphasize practical tools rooted in patient safety for optimized patient engagement and success.

Demystifying Opioid Deprescribing Across the Continuum While Providing Individualized, Whole Person Pain Care

Aram Mardian

Addressing Complexities of Opioid Deprescribing with Patient-Centered Approaches: Supportive Psychological Strategies, Low-Cost Technologies, and Self-Management Tools

Beth Darnall

Seamless Integration of Opioid Use Disorder Management in Patients with Chronic Pain

Anita Karnik

Learning Objectives:

  • Use three behavioral strategies to enhance readiness to engage in a collaborative opioid taper.
  • Distinguish opioid use disorder from complex persistent opioid dependence and simple opioid dependence.
  • Describe recent federal cautions related to opioid deprescribing.
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Moderator:

Aram Mardian

Co-Presenters:

Beth Darnall

Anita Karnik

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