SCCM Resource Library-Breaking the Habit: Addiction Management in the ICU

Video Transcription

Video Summary

The topic of the discussion is addiction management in the ICU, focusing on patients with opioid use disorders. The presenters discuss the challenges of managing pain and sedation in these patients and also address the issue of transitioning care and avoiding chronic use of opioids. They highlight the importance of obtaining a good medication history and review of outpatient records to ensure appropriate medication regimens are continued in the ICU. They discuss the use of multimodal analgesia and considerations for patients on methadone or Suboxone. The presenters also emphasize the need for a multidisciplinary approach to manage these patients and the importance of communication between providers. They discuss the challenges of managing opioid-naive patients in the ICU and the need to balance adequate sedation with the risk of opioid dependence. The presenters share their experiences and strategies for managing these patients, including the use of intermittent opioids, propofol infusions, and active weaning. They also discuss the impact of the COVID-19 pandemic on analgesia practices in the ICU and the challenges of providing care during surges in cases. The presenters highlight the importance of following the ABCDF bundle and ensuring good transitions of care to optimize patient outcomes. They emphasize the need for further research in this area, particularly on the long-term effects of sedation and analgesia on COVID-19 patients. Overall, the presenters provide valuable insights and recommendations for managing addiction and pain in the ICU setting.

Asset Subtitle

Pharmacology, 2022

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2022 Critical Care Congress held from April 18-21, 2022.

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Alcohol and Substance Abuse

Year 2022

Keywords

addiction management

ICU

opioid use disorders

pain management

sedation management

multimodal analgesia

methadone

Suboxone

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