SCCM Resource Library-Managing Patients With Opioid Use Disorders in the ICU

Video Transcription

Video Summary

In this video, the speaker discusses the challenges faced by critical care providers when managing patients with opioid use disorder in the ICU. The prevalence of opioid use disorder in the US is estimated to be about 2% to 3%, with an alarming increase in opioid overdose-related deaths in recent years. The speaker highlights common scenarios in the ICU involving opioid use disorder, including acute opioid overdose, managing opioid-dependent patients after surgery or with medical issues, and acute opioid withdrawal. The mainstay of managing acute opioid toxicity is pharmacologic reversal with naloxone, but it is important to be aware of the risk of acute withdrawal and the short duration of naloxone's action. Opioid-dependent patients in the ICU require a comprehensive approach to pain management, incorporating opioid and non-opioid analgesics, as well as regional analgesia techniques. The speaker emphasizes the importance of appropriately assessing and treating pain in these patients, as well as managing their withdrawal symptoms.

Asset Subtitle

Pharmacology, Behavioral Health and Well Being, 2023

Asset Caption

Type: two-hour concurrent | The Dark Side of the ICU (SessionID 1118772)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Behavioral Health and Well Being

Membership Level Professional

Membership Level Select

Tag Analgesia and Sedation

Tag Alcohol and Substance Abuse

Year 2023

Keywords

critical care providers

opioid use disorder

ICU

opioid overdose

pain management

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