Big T Trauma Series Ep. 19 - Multimodal Pain Control

Big T Trauma Series Ep. 19 - Multimodal Pain Control

Did you know that 13% of trauma patients who go home with an opioid prescription will develop opioid dependence? Multimodal pain regimens not only reduce opioid consumption, but also improve pain control. On this episode of the BIG T TRAUMA series, we explore a multimodal approach to pain management...and tackle some surgical dogma along the way.

Hosts:
  • Patrick Georgoff, MD, Trauma Surgeon, Duke University, @georgoff
  • Teddy Puzio, MD, Trauma Surgeon, University of Texas Houston
  • Gabby Hatton, MD, Trauma Surgery fellow, University of Texas Houston
References:
1. Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open 2020: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767637
2. Traumatic injuries and persistent opioid use in the USA: findings from a nationally representative survey. Injury Prevention 2017: https://pubmed.ncbi.nlm.nih.gov/27597400/
3. Ketamine For Acute Pain After Trauma (KAPT): A Pragmatic, Randomized Clinical Trial. J Trauma 2024:
https://pubmed.ncbi.nlm.nih.gov/38689402/
4. EAST PMG: Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma (2023): https://www.east.org/education-resources/practice-management-guidelines/details/efficacy-and-safety-of-nonsteroidal-antiinflammatory-drugs-nsaids-for-the-treatment-of-acute-pain-af
5. Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period. JACS 2021:
https://pubmed.ncbi.nlm.nih.gov/33515678/
6. Is the use of nonsteroidal anti-inflammatories after bowel anastomosis in trauma safe? J Trauma 2023:
https://pubmed.ncbi.nlm.nih.gov/36728125/
7. University of Texas at Houston Multimodal Pain Guideline: https://med.uth.edu/surgery/acute-trauma-pain-multimodal-therapy/
8. ACS TRAUMA QUALITY PROGRAMS BEST PRACTICES GUIDELINES FOR ACUTE PAIN MANAGEMENT IN TRAUMA PATIENTS: https://www.facs.org/media/exob3dwk/acute_pain_guidelines.pdf

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Jaksot(500)

Mastering M&M: A Practical Guide to Presenting Complications

Mastering M&M: A Practical Guide to Presenting Complications

Welcome back to Behind the Knife with Cody, Patrick, Jason, and Ayman. Today, we are tackling a defining professional ritual for every surgical trainee: the Morbidity and Mortality (M&M) Conference. W...

2 Huhti 40min

Clinical Challenges in Transplant Surgery: How Xenotransplantation Will Change Our Lives

Clinical Challenges in Transplant Surgery: How Xenotransplantation Will Change Our Lives

Xenotransplantation—the use of organs from other species to treat human disease—has long existed at the intersection of science fiction and surgical innovation. While early efforts were marked by limi...

30 Maalis 45min

OBGYN Oral Board Review - Sample Episode: Adnexal Emergency

OBGYN Oral Board Review - Sample Episode: Adnexal Emergency

INTRODUCING Behind the Knife OBGYN Oral Board Review!The oral boards aren't just about knowledge—they are about executing under pressure. This course is designed to give you the structure and confiden...

27 Maalis 20min

The Prelim Playbook: Tips, Tricks, and Unspoken Rules for Success

The Prelim Playbook: Tips, Tricks, and Unspoken Rules for Success

In this episode, we explore the grueling realities of the general surgery preliminary year—a high-stakes, one-year audition for surgical trainees operating without a safety net. We sit down with a pro...

26 Maalis 54min

Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts

Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts

Identification of pancreatic cystic lesions has become increasingly common due to improved resolution and increased utilization of cross-sectional imaging. However, there are many types of pancreatic ...

23 Maalis 38min

Clinical Challenges in Colorectal Surgery: Management of Metastatic Colorectal Cancer

Clinical Challenges in Colorectal Surgery: Management of Metastatic Colorectal Cancer

With the increasing incidence of colorectal cancer in those less than 50 years of age, one must wonder how many patients present with a Stage IV diagnosis. Take a deep dive with us discussing the mana...

19 Maalis 45min

Healthcare Econ 101 - Ep. 3: Decoding the Black Box (Billing & Coding)

Healthcare Econ 101 - Ep. 3: Decoding the Black Box (Billing & Coding)

In the final installment of the Healthcare Econ 101 miniseries, Dr. Christopher Childers and Dr. Nina Clark demystify the "black box" of medical billing and coding. This episode breaks down the two es...

16 Maalis 40min

Healthcare Econ 101 - Ep. 2: Show Me the Money (RVUs & DRGs)

Healthcare Econ 101 - Ep. 2: Show Me the Money (RVUs & DRGs)

Ever wonder why a complex gallbladder surgery only nets the surgeon about $350, while the hospital collects thousands? In this episode, Dr. Christopher Childers and Dr. Nina Clark pull back the curtai...

12 Maalis 48min

Suosittua kategoriassa Koulutus

rss-murhan-anatomia
voi-hyvin-meditaatiot-2
psykopodiaa-podcast
rss-narsisti
adhd-podi
aamukahvilla
rss-rahamania
rss-vapaudu-voimaasi
rahapuhetta
rss-eron-alkemiaa
rss-koira-haudattuna
rss-liian-kuuma-peruna
rss-tietoinen-yhteys-podcast-2
kesken
mielipaivakirja
psykologia
rss-uskonto-on-tylsaa
rss-duodecim-lehti
rss-turun-yliopisto
rss-the-leafy-lounge