Saturday, April 28 (19)

 

7:30 am - 5 pm Registration Open

10 - 11:30 am Resource Center Open

2:15–3:15 pm

Visceral Pain: It Takes a Village: A Medical, Surgical, Behavioral Medicine, and Patient Team–Based Approach (309)

As understanding of pathogenesis of visceral pain improves, there is increasing evidence of alterations in brain-gut interactions resulting in exacerbation of inflammation and motility issues. This session explores how management is shifting from single provider pain management to interdisciplinary approaches, including psychology and enhance recovery after surgery (ERAS) when surgery is necessary.

Managing Acute and High-Impact Chronic Visceral Pain: Helping Take the Flame Out of IBD

Judith Scheman, PhD

Enhanced Recovery After Colorectal Surgery: Fewer Opioids, Faster Recovery, Happier Patients

Tracy Hull, MD

Paradigm Shift in the Management of Visceral Pain: From Gastroenterologist to Surgeon to Psychologist

Linda Nguyen, MD

Learning Objectives:

  • Explain the current understanding of the pathogenesis of visceral pain.
  • Describe management options for visceral pain.
  • Examine strategies for patient pain management around the time of surgery.
3:30–4:30 pm

Unintended Prolonged Opioid Use: An Under-Recognized Segue to Long-Term Use (310)

With rare exceptions, practitioners do not intend for an initial opioid prescription given for an acute pain episode to result in indefinite repeat prescriptions; a phenomenon termed unintended prolonged opioid use (UPOU). Recently, intentional short-term use has emerged as a previously under-recognized segue to long-term use. This session provides an expanded awareness of the complex determinants, allowing clinicians the ability to better understand and mitigate UPOU.

Epidemiology, Patient Factors, and Regulatory Influences

W. Michael Hooten, MD

The Role of Patient Self-Selection

Mark Sullivan, MD PhD

Negative Affect and the Mediating Role of Opioid Craving

Ajay D. Wasan, MD MSc

Learning Objectives:

  • Demonstrate how key patient characteristics could potentially influence unintended prolonged opioid use including, (1) medical and mental health conditions; (2) the etiology of pain; (3) individual affective, behavioral, and neurophysiological responses to pain and opioids; and 4) sociodemographic factors.
  • Demonstrate how individual practitioner characteristics could influence prescribing behaviors including, (1) medical or surgical specialty and training in pain medicine; (2) personal attitudes, knowledge, and beliefs regarding the risks and benefits of opioids; and (3) perceived professional norms.
  • Demonstrate how unintended prolonged opioid use could be influenced by the practice and regulatory environments.
3:30–4:30 pm

Extending the Perioperative Surgical Home: Interdisciplinary Strategies to Optimize Perioperative Pain Management (311)

The Perioperative Surgical Home encourages an interdisciplinary approach to perioperative care long after discharge. This session provides novel interdisciplinary strategies to optimize perioperative pain management to bridge the continuum of postoperative pain. In addition, long-term outcomes of routine acute pain interventions, with presentation of real-world implementation efforts will also be discussed.

Novel Interdisciplinary Approaches to Improve Long-Term Outcomes After Surgery

Jennifer Hah, MD MS

Innovative and Established Interdisciplinary Acute Pain Interventions: Separating Fact from Fiction

David A. Edwards, MD PhD

Pathways to Implementation: Preoperative Optimization of Patients with Chronic Pain

Arun Ganesh, MD

Learning Objectives:

  • Identify vulnerable patient populations at-risk for persistent postsurgical pain and related adverse outcomes, and to recognize the role of the interdisciplinary team in identifying these at-risk patients.
  • Develop a comprehensive, interdisciplinary perioperative pain management plan which engages all providers of the treatment team including surgeons, pain specialists, anesthesiologists, advanced practice providers, psychologists, and physical therapists.
  • Incorporate novel interdisciplinary, evidence-based strategies into pain management pathways created by the perioperative surgical home to bridge the gap between acute, subacute, and chronic postoperative pain management.
4:45–5:45 pm

Buprenorphine/Naloxone for Pain and Opioid Use Disorder (313)

This session will use didactic lecture, audience discussion, and case studies to provide learners with information about the intersection of pain and opioid use disorder (OUD), discuss screening and assessment tools, and discuss treatment approaches for managing these co-occurring disorders.

The Arc of the Opioid Epidemic and Adoption of Evidence-Based Practices

Kristen Huntley, PhD

Opioid Agonist Therapy for Pain and Opioid Use Disorder

William Becker, MD

Management of Bupenorphine Within the Perioperative Period

Jordan L. Newmark, MD

Learning Objectives:

  • Examine the complexity of diagnosing OUD in the setting of long-term opioid therapy for pain.
  • Describe characteristics of appropriate treatment approaches for patients with pain and OUD.
  • Examine the complexity of managing perioperative buprenorphine for acute pain.
  • Describe the management differences between elective and urgent surgery, as well as implications for patients with either chronic pain or OUD.
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