FREE CME OnDemand: Orthopaedics & Opioids: Where Are We and Where Do We Go From Here?-Recorded Faculty Discussion

Video Transcription

Video Summary

In the video, several experts discuss the topic of opioid prescribing and management of post-surgical pain. They highlight the importance of understanding the factors that contribute to persistent opioid use in patients, such as patient factors and prescribing factors. Patient factors include medical comorbidities, tobacco use, mental health disorders, and pre-existing pain conditions. Prescribing factors include the initial dose of opioids and the dose within the perioperative period. The experts emphasize the need for individualizing pain management plans and reducing unnecessary opioid prescriptions. They discuss strategies such as prescribing non-opioid pain medications like ibuprofen and acetaminophen, and gradually decreasing the number of opioid pills prescribed. The experts also mention the importance of patient education and setting realistic expectations for post-surgical pain. They discuss the potential role of gabapentin and medical marijuana in pain management, but note that more research is needed. Additionally, the experts touch on the challenges of managing patients who are on opioids or opioid replacement therapy like Suboxone, and highlight the importance of communication and collaboration with prescribers in those cases. Overall, the video provides insights and recommendations on responsible opioid prescribing and effective pain management strategies.

Keywords

opioid prescribing

post-surgical pain

persistent opioid use

patient factors

prescribing factors

individualizing pain management

non-opioid pain medications

patient education