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.
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
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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
Module 1 – rEASON Curriculum Intro
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
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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
Module 2 – Opioids; From Friend to Foe
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
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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
Module 3 – Opioid Induced Hyperalgesia
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
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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
Part Five of the series: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids
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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
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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
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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
Anthony Leon rEASON 03.19.2021
