SCCM Resource Library-Walking the Tightrope: Navigating the Safe Use of Opioids in Opioid-Naive Patients From the ICU to Discharge

Walking the Tightrope: Navigating the Safe Use of Opioids in Opioid-Naive Patients From the ICU to Discharge

Video Transcription

Video Summary

The session, led by a critical care and cardiac anesthesiologist from the University of Chicago, focuses on balancing effective pain management in hospitals while minimizing long-term opioid use. It highlights how common opioid use in ICUs can paradoxically lead to post-discharge opioid dependence, especially in previously opioid-naive patients. Despite opioids' benefits, concerns are raised about their potential to foster dependence, with recent studies indicating a non-zero incidence of long-term use post-surgery. Strategies discussed to mitigate post-discharge opioid dependence include patient education, multimodal pain management, and conservative opioid prescribing post-discharge. The efficacy of these strategies remains inconclusive with the existing data. The speaker emphasizes caution, pointing out the potential for opioids to manage acute postoperative pain effectively but acknowledging the challenges in avoiding dependency. Additionally, they highlight OxyContin's high likability ratings compared to other opioids, suggesting exploring alternatives could be significant.

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 dependence

pain management

ICU opioid use

multimodal strategies

OxyContin alternatives

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