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Multimodal analgesia and opioids after hip surgery

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Multimodal analgesia and opioids after hip surgery

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In this #RAUK21 clinical symposium presentation discussing perioperative care of patients having hip surgery, I discuss the opioid epidemic, the goal of personalizing pain management through better understanding of pain trajectories, multimodal analgesia, ways to promote opioid safety, and opportunities to improve patient care through transitional pain services.

In this #RAUK21 clinical symposium presentation discussing perioperative care of patients having hip surgery, I discuss the opioid epidemic, the goal of personalizing pain management through better understanding of pain trajectories, multimodal analgesia, ways to promote opioid safety, and opportunities to improve patient care through transitional pain services.

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Multimodal analgesia and opioids after hip surgery

  1. 1. Multimodal analgesia and opioids after hip surgery Edward R. Mariano, M.D., M.A.S. Professor of Anesthesiology, Perioperative & Pain Medicine Stanford University School of Medicine Chief, Anesthesiology and Perioperative Care Veterans Affairs Palo Alto Health Care System @EMARIANOMD
  2. 2. @EMARIANOMD Disclosures  None
  3. 3. @EMARIANOMD The opioid epidemic https://www.nytimes.com/interactive/2016/01/07/us/drug-overdose-deaths-in-the-us.html?_r=0 https://www.cdc.gov/drugoverdose/epidemic/index.html
  4. 4. @EMARIANOMD
  5. 5. @EMARIANOMD
  6. 6. @EMARIANOMD Brummett, et al. JAMA 2017 Klueh, et al. JGIM 2018 The role of surgery
  7. 7. @EMARIANOMD
  8. 8. @EMARIANOMD How long does pain last? Mariano, El-Boghdadly, Ilfeld. Anaesthesia 2020
  9. 9. @EMARIANOMD Postoperative pain varies by patient TEMPOS Group (Tighe PJ). Anesthesiology 2021
  10. 10. @EMARIANOMD
  11. 11. @EMARIANOMD Mariano, Schatman. J Pain Res 2019
  12. 12. @EMARIANOMD @DrChadB
  13. 13. @EMARIANOMD Tamboli, Mariano, et al. Pain Med 2019
  14. 14. @EMARIANOMD
  15. 15. @EMARIANOMD
  16. 16. @EMARIANOMD Opportunities to improve Mariano, Walters, Kim, Kain. A&A 2015 Walters, Mariano, Clark. Pain Med 2015
  17. 17. @EMARIANOMD Goal to “personalise” pain medicine

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