About this webinar
Perioperative management of pain is rapidly changing. There are many drivers for this change of practice, including:
- The accepted goals of acute pain management now include promotion of recovery and mobilisation, in addition to humanitarian pain relief.
- Whilst unfettered perioperative opioid use may lead to opioid related adverse drug events including persistent postoperative opioid use, so multi-modal opioid sparing analgesia coupled with opioid stewardship are of utmost importance
- Opioids continue to have an unsurpassed role in allowing patients to recover from surgery, however strategies to mitigate harms must be instituted
- The recognition that some multimodal opioid-sparing opioid analgesic techniques may hinder mobilisation, and these techniques are increasingly being rejected
- Patient Partnership and patient education are key to enabling patients to utilise post operative analgesics to promote recovery from surgery, effective weaning from analgesics, safe storage of opioids, safe disposal of unused opioids whilst minimizing opioid diversion, drug driving and persistent postoperative opioid use
- The recognition that the placebo effect is a powerful analgesic tool, and conversely the deleterious consequences of the nocebo effect.
This webinar is a collaboration between the Association of Anaesthetists and the British Pain Society. The aim is to highlight the direction of travel of perioperative pain management, but more importantly to showcase some strategies and initiatives that are now being utilised with the dual aim of promoting recovery and effective pain relief whilst minimising opioid related harms.
The multi-professional faculty is composed of national experts. Dr Wiech is part of the team based at Oxford exploring psychological strategies to improve pain outcomes. Dr Davies is a pharmacist with an interest in perioperative analgesics. Both Professors Fawcett and Lobo are recognised international experts in enhanced recovery and opioid stewardship, and Ms Cox has driven the production of the nationally endorsed patient information leaflet that promotes patient responsibility for their own recovery that has been translated into multiple languages.
Login will be available from 17:45, but the broadcast will not start until 18:00.
Joining the webinar
You can log in from the comfort of your own home, your office, or any where else that is convenient. All you need is a decent internet connection and a quiet room. If you are unable to attend live do not worry, you will be automatically sent the recording 24 hours after the webinar whether you attend or not.
Please ignore questions about access and dietary requirements during the booking process. Joining details will be sent automatically via email - please ensure the email we have for you is correct, and remember to check for updates in that email account in the week prior to the webinar.
Organisers and Chairs, Dr Nicholas Levy, Bury St Edmunds and Prof Roger Knaggs (President Elect, British Pain Society)
Introductory talk - The need to update practice Dr Nicholas Levy, Bury St Edmonds
Getting the pain you expect: utilising expectation management and avoiding the nocebo effect Dr Katya Wiech, Oxford
Advances in understanding of analgesic agents (dexamethasone, gabapentinoids, oral vs iv paracetamol, schedule 5 vs 2, likeability, MR opioids, differences in NSAIDs) Dr Emma Davies, South Wales
Using analgesia to facilitate mobilisation Prof Bill Fawcett, Guildford
Discharge analgesia and opioid stewardship Prof Dileep Lobo, Nottingham
Analgesic discharge prescription information Mrs Felicia Cox, Royal Brompton and Harefield