#299 Acute Pain Management for the Hospitalist

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 11 October 2021

⏱️ 68 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Confidently manage acute pain in the hospital! In this episode listeners will learn how to develop a multimodal analgesia plan for acute pain in the hospital, as well as how to safely initiate and discharge a patient on opioids. We’re joined by Dr. Melissa Weimer @DrMelissaWeimer (Yale School of Medicine).

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Producer and Writer: Carolyn Chan, MD
Script: Carolyn Chan, MD, Avi O’Glasser, MD
Cover Art and Infographic: Edison Jyang
Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
Reviewer: Emi Okamoto, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Melissa Weimer DO

Sponsor: ACP’s National Internal Medicine Day

Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.

Sponsor: Green Chef

Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping!

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Show Segments

01:39 Intro, disclaimer, guest bio
03:20 Guest one-liner, Picks of the Week
09:18 Case from Kashlak; Definitions
11:00 Assessing Acute Pain
12:12 Types of Pain
15:08 Initiating Opioids
22:32 Counseling on Opioid Exit Strategy
25:26 Opioid Dependence vs. Opioid Use Disorder
29:50 Post-Op Pain Management
31:00 Other cool stuff
37:00 PCA
41:00 Opioid Taper
46:50 Acute Pain and Opioid Use Disorder
58:00 Methadone Titration
1:04:00 Outro

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:07.0	And the topics discussed should not be used solely to die in a street cure or prevent
0:09.4	any diseases or conditions.
0:10.4	For the more that you've used, and statements expressed on the podcast are solely those
0:12.1	of those, and should not be interpreted to reflect official policy or position of
0:14.1	painting entity aside from possibly cash like more hospital and affiliate outreach programs.
0:16.9	If indeed there are any, in fact there are none.
0:18.7	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.5	and let's know.
0:32.2	Well Carolyn, we've done it.
0:35.2	This is Dr. Matthew Wato.
0:37.8	Welcome back to the Curbsiders.
0:39.2	Tonight we are talking about acute pain in the hospital and how to use opioid medication
0:46.1	safely to treat pain.
0:48.0	We have a returning guest, a great doctor, Melissa Weimer, and joining me as co-host tonight
0:53.9	is Dr. Carolyn Chan.
0:56.0	Carolyn, how are you doing?
0:57.9	I'm excellent.
0:58.9	You were right when you said we did it.
1:00.9	We did it.
1:01.9	We learned all about opioids today.
1:04.0	You know, it's harder than you would think to start a show and that's what comes to mind
	...

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