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About this webinar recording
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.Organisers and Chairs:
Dr Nicholas Levy, Bury St Edmunds and Prof Roger Knaggs (President Elect, British Pain Society)Programme
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
Controversies with Analgesic agents - Dr Emma Davies
, South Wales
Using analgesia to facilitate mobilisation - Prof Bill Fawcett
Discharge analgesia and opioid stewardship - Prof Dileep Lobo
Analgesic discharge prescription information - Mrs Felicia Cox
, Royal Brompton and Harefield