SCCM Resource Library-From Relief to Addiction: Navigating Opioid Use in Critical Care

Video Transcription

Video Summary

The session focused on the epidemiology and management strategies for opioid use disorder (OUD) in ICU settings, tackling key issues such as the impact of opioid-based sedation and the rising trend of opioid dependency post-ICU discharge. Discussions highlighted the definitions and diagnostic criteria of opioid use as per DSM-5 and ICD-10, and how these relate to coding and management in ICU scenarios. Notably, the session emphasized the increase in opioid usage and overdose fatalities coinciding with COVID-19, driven by factors like isolation and reduced access to care.<br /><br />Speakers examined various strategies to mitigate these challenges, including protocolizing pain management, incorporating multi-modal approaches, and analyzing patient and provider-centered methods to manage OUD. Despite a lack of comprehensive data and existing limitations, recommendations included maintaining consistent communication with patients, using non-opioid adjuvants, and considering alternatives like buprenorphine or methadone over oxycodone due to its higher likability and potential for misuse.<br /><br />The session concluded with a call for further research on best practices and outcomes for opioid management in critical care, pointing out gaps in data, particularly regarding long-term impacts of in-hospital opioid use and strategies to reduce dependency.

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 settings

opioid dependency

COVID-19 impact

pain management

buprenorphine

methadone

critical care research

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