PROJECT rEASON
Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
Rural Emergent Alternative Surgical Opioid Non-Use, funded by HRSA, provides expert-guided education focused on opioid-sparing analgesia guidelines to health care providers, patients, and families to mitigate surgically-gated opioid use disorder at one-year follow-up. A standard of care will be developed for providers, patients, and parents/legal guardians to communicate with surgeons and anesthesiologists on how to request non-opioid surgical options.
Project Resources
Series Recordings and Tools
CE credits were available for live attendance only.
Alternative Surgical Opioid Use: Curriculum Introduction
Presented on March 8, 2021
Part One of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
- Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss the prevalence of opioid use disorder as a complication of surgery
- Identify risk factors for post-surgical persistent use of opioids
- Identify high risk patient populations and factors
- Understand factors in opioid over-prescribing and how you can make a positive impact
- Discuss multimodal, multidisciplinary pain management
Presentation
Opioids: From Friend to Foe
Presented on March 22, 2021
Part Two of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
- Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss the prevalence of opioid overuse as a complication of surgery
- Discuss opioid sparing alternatives to opioid monotherapy
- Understand opioid related adverse drug effects and the impact on clinical and cost outcomes
- Understand the complexity of pain pathways and why multiple analgesic techniques improve outcomes
- Discuss multimodal, multidisciplinary pain management
Presentation
Opioid Induced Hyperalgesia
Presented on April 5, 2021
Part Three of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
- Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss development of opioid induced hyperalgesia in the post-surgical patient
- Discuss the complexity of pain pathways and why multiple analgesic techniques improve outcomes
- Discuss historical observations of opioid induced hyperalgesia
- Understand the challenges of managing opioid induced hyperalgesia
- Discuss opioid sparing alternatives to opioid monotherapy
Presentation
Adolescents and Young Adults; Uniquely Susceptible to OUD
Presented on April 19, 2021
Part Four of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss why adolescents & young adults are uniquely susceptible to oud
- Discuss opioid sparing alternatives to opioid monotherapy
- Discuss how adolescent brain development contributes to addictive vulnerability
- Discuss illicit drug use in Grades 8 through 12
- Discuss persistent use of opioids in pediatric patients following surgery
Presentation
Module 4 – Adolescents and Young Adults; Uniquely Susceptible to OUD
Multimodal Analgesia; Concepts & Implementation: Regional Anesthesia
Presented on May 3, 2021
Part Five of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
Objectives:
- Discuss the prevalence of opioid overuse as a complication of surgery
- Value multimodal pain management
- Understand the role of regional anesthesia as an alternative to opioids for the management of surgical pain
- Recognize the difference between major block techniques
- Recognize patient misgivings about regional anesthesia
- Formulate strategies to allow patients to advocate for regional anesthesia as an alternative to opioids
Presentation
Module 5 – Multimodal Analgesia; Concepts & Implementation: Regional Anesthesia
Multimodal Analgesia; Concept and Implementation: NSAIDs
Presented on May 17, 2021
Part Six of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss the prevalence of opioid overuse as a complication of surgery
- Discuss opioid sparing alternatives to opioid monotherapy
- Understand NSAIDs as a key component of multimodal analgesia
- Understand post-operative implication of NSAID use
- Discuss Multimodal, Multidisciplinary Pain Management
Presentation
Module 6 – Multimodal Analgesia; Concepts & Implementation: NSAIDS & Alternatives
Putting It All Together; Developing Your Safe & Effective Pain Management Plan
Presented on June 14, 2021
Part Seven of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
Objectives:
- Understand the problem of surgery as a gateway to persistent opioid use
- Discuss the prevalence of opioid overuse as a complication of surgery
- Discuss opioid sparing alternatives to opioid monotherapy
- Understand opioid related adverse drug effects and the impact on clinical and cost outcomes
- Understand the complexity of pain pathways and why multiple analgesic techniques improve outcomes
Presentation
Module 7 – Putting It All Together; Developing Your Safe & Effective Pain Management Plan