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

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Disclosures
 None

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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

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Brummett, et al. JAMA 2017
Klueh, et al. JGIM 2018
The role of surgery

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How long does pain last?
Mariano, El-Boghdadly, Ilfeld. Anaesthesia 2020

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Postoperative pain varies by patient
TEMPOS Group (Tighe PJ). Anesthesiology 2021

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@EMARIANOMD

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@EMARIANOMD
Mariano, Schatman. J Pain Res 2019

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@EMARIANOMD
@DrChadB

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Tamboli, Mariano, et al. Pain Med 2019

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@EMARIANOMD
Opportunities to improve
Mariano, Walters, Kim, Kain. A&A 2015
Walters, Mariano, Clark. Pain Med 2015

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@EMARIANOMD
Goal to “personalise” pain medicine