Pain and Chemical Dependency

PCD-02 - Perioperative Pain Management in Opioid Use Disorder

Tuesday, September 5, 2023

10:40 AM – 11:30 AM PST

Location: Nolita 1-3

CE: Contact Hours: 1 | ANCC RX: 0| AANP RX: 0 | Mate: 0

Co-Presenter(s)

Hannah Cawoski, PharmD

Clinical Pharmacy Specialist - Addiction Medicine
Center for Inclusion Health - Allegheny Health Network
Pittsburgh, PA

Slides
Nathan Menke, MD, PhD, FASAM, FAAEM

Medical Director of Inpatient Addiction Medicine Consult Service, Assistant Professor
Department of Psychiatry, University of Michigan Health, Michigan Medicine
University of Michigan
Ann Arbor, Michigan
Jillian DiClemente, PharmD

Pain Management Clinical Pharmacist Specialist
Department of Pharmacy, University of Michigan Health
University of Michigan College of Pharmacy
Ann Arbor, Michigan

Course Description: Patients with opioid use disorder or a history of opioid use disorder who undergo planned or emergent surgical procedures have difficult and often complex perioperative pain. In this course, two clinical pharmacist specialists in pain management and a board-certified addiction medicine physician, who currently practice on addiction consult teams at large academic medical centers, will dive into the clinical considerations and evidence based therapeutic strategies for treating acute pain in patients with opioid use disorder. Perioperative planning and pharmacologic approaches will be described and discussed via a series of complex clinical patient cases presented throughout the course. The considerations for treating acute pain in a patient taking a medication for opioid use disorder including methadone and buprenorphine-naloxone will be discussed, in addition to factors to anticipate in the transitions of care planning in this vulnerable population. This course will help multidisciplinary team members recognize the importance of appropriately treating pain in patients with opioid use disorder and learn select pharmacologic and nonpharmacologic approaches to consider in the perioperative setting.

Learning Objectives:

Describe challenges of managing perioperative pain in patients with opioid use disorder (OUD)
Explain strategies for managing acute perioperative pain in patients already on a medication for OUD (MOUD) using case examples
Review considerations for initiation or continuation of MOUD in perioperative patients with OUD