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Behind The Knife: The Surgery Podcast

Big T Trauma Series Ep. 19 - Multimodal Pain Control

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Medicine, Health & Fitness, Education, Science

4.81.4K Ratings

🗓️ 22 July 2024

⏱️ 30 minutes

🧾️ Download transcript

Summary

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

Transcript

Click on a timestamp to play from that location

0:00.0

Behind the surgery podcast, relevant and engaging content designed to help you dominate the day.

0:13.0

Welcome back to Behind the Knife. It's been a very busy spring for us all and I want to tell you about some of the things that we've been working on.

0:29.0

First off, a reminder that we have 100% free category 1

0:32.8

CME for docs, APPs, and nurses.

0:36.0

And we want to thank our partners at Duke University

0:38.2

for supporting us in this endeavor.

0:39.6

You can check out our website or app for more. Second, our student resource is almost complete and we think

0:46.1

it's going to be absolutely huge. The team has been led by Nina Clark and Jessica Malar and

0:51.1

our own John McLellan and they've put together a super practical high yield and really nearly comprehensive resource that focuses on how students can dominate their surgery rotation.

1:02.0

We've got to the point text, original illustrations, all kinds of tables, endless

1:06.3

audio and fantastic video, all of which can be accessed in our app. And the thing that I particularly

1:12.1

really like about this is how we decided to focus on student

1:15.4

performance and the art and the science of surgery and less so on rope memorization and shelf preparation

1:21.6

although it will be definitely a good resource for studying for the shelf.

1:24.6

We're planning to release this later than summer.

1:27.4

And third, our premium library is growing, so in addition to oral board reviews for general surgery,

1:31.8

CT surgeon,

1:32.8

on cabascular and colorectal.

1:35.1

We also have the one of the kind trauma surgery video atlas

1:38.2

and our ab site review book.

1:40.1

And we are now offering super steep institutional discounts so that you can get your hands on all these resources.

1:46.0

And if you're interested, certainly let your program leadership know.

...

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