SCCM Resource Library-Opioid-Free Analgesia in the ICU: Magic or Illusion?

Video Transcription

Video Summary

The video transcript discusses the use of non-opioid analgesics in the ICU. The first speaker, Professor John Devlin, focuses on the use of analgesia and the goals that should be reached. He then discusses alternatives to opioids such as ketamine, lidocaine, and gabapentin. Professor Devlin mentions that there is limited evidence for the use of these drugs in the ICU, but they may be effective in certain patient populations. He also highlights the importance of using a protocolized approach to pain management and suggests that ICU patients should be guided by routine pain assessment, with pain being treated before sedation is considered. The second speaker, Dr. Megan Lane-Fall, discusses the use of acetaminophen, NSAIDs, and COX-2 inhibitors as alternatives to opioids. She explains that acetaminophen is a safe and effective option, while NSAIDs and COX-2 inhibitors may have more limitations and side effects. Dr. Lane-Fall emphasizes the importance of considering individual patient factors and preferences in choosing the most appropriate analgesic. Overall, the speakers agree that multimodal analgesia should be used to optimize pain management in the ICU, with opioids used as necessary but with caution.

Asset Subtitle

Pharmacology, 2020

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 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Evaluate tools and processes for assessing pain and developing patient-specific goals
Review analgesic applications for ketamine, lidocaine, and gabapentin
Discuss advantages, disadvantages, and the role of NSAIDs and acetaminophen/paracetamol

Assessing Pain and Setting Goals

John W. Devlin

Potions or Poisons: Acetaminophen/Paracetamol, COX-2 Inhibitors, and NSAIDs

Meghan B. Lane-Fall

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Level Foundational

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Analgesia and Sedation

Tag Toxicology

Year 2020

Keywords

non-opioid analgesics

ICU

analgesia

ketamine

lidocaine

gabapentin

pain management

acetaminophen

NSAIDs

COX-2 inhibitors

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