Managing Chronic Pain in the Acute Care Setting

Explore a comprehensive lecture on managing chronic pain in acute care settings, delivered by Dr. Rahul Rastogi, Clinical Professor and Director of Pain Management at the University of Iowa Hospitals & Clinics. Delve into the complexities of pain, its duration, and societal impact. Learn about pain assessment techniques, multimodal treatment algorithms, and analgesic pharmacotherapy. Examine the challenges of opioid pain management, including side effects, hyperalgesia, and evidence-based practices. Discover strategies for screening drug abuse risk, tapering opioids, and addressing substance use disorders in chronic pain patients. Gain insights into alternative treatments such as lidocaine, vertebral augmentation, physical therapy, and psychological approaches. Understand the importance of patient education and the definition of opioid tolerance in this 53-minute Grand Rounds presentation from Mary Greeley Medical Center.

Intro
Learning Objectives
What is pain?
What is meaning of pain duration?
Burden of pain
Prevalence & Impact of Chronic Pain on society
Impact of Pain Consequences
Chronic Pain in settings
Pain Assessment
Multimodal Treatment Algorithm for Chronic Pain
Beyond Analgesic Ladder
Analgesic Pharmacotherapy
Opioid Pain Management
Endocrinal Side effects of Opioid Use
Immune Down regulation: A Side effects of Opioid Use
Opioids and Cancer Progression
Opioid hyperalgesia
Opioid for chronic pain Where is the evidence?
Screening for Drug Abuse Risk and Risk Stratification
Tapering opioids
Substance Use Disorder and Chronic Pain
Patient on Methadone
Lidocaine
Vertebral Augmentation
Physical Therapy & Psychology
Education
Opioid Tolerant Definition