SCCM Resource Library-A Balancing Act: Managing Opioid Use Disorder in the Critically Ill

A Balancing Act: Managing Opioid Use Disorder in the Critically Ill

Video Transcription

Video Summary

The presentation discusses the management of opioid use in critically ill patients, particularly those with opioid use disorder (OUD), in the ICU. It emphasizes the importance of assessing pain accurately and setting patient-centered goals to manage opioid therapy effectively. Despite opioids being the usual choice, they pose risks like increased delirium. Practitioners must thoroughly assess patients' opioid use to manage pain and avoid withdrawal or inadequate analgesia. Methadone and buprenorphine are two main medications used, while naltrexone is less common. Managing OUD in ICU involves monitoring withdrawal, continuing or adjusting existing medication doses, or initiating therapy. Effective management is crucial for preventing withdrawal and relapse, and potentially lowering readmission rates. However, there is a lack of standardized protocols and insufficient data on managing OUD in ICU, prompting the need for further research on outcomes and effectiveness of different therapies.

Asset Caption

One-Hour Concurrent Session | From Relief to Addiction: Navigating Opioid Use in Critical Care

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

opioid use disorder

ICU management

opioid therapy

methadone buprenorphine

withdrawal prevention

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