Clinical Core

Innovative Approaches to Acute Pain Management in Critically Ill Patients

Concurrent Session Moderator(s)

• 

  Hina Faisal, MD,

  Assistant Professor
  Houston Methodist Hospital

  Disclosure(s): No relevant financial relationship(s) to disclose.
• 

  Navneet Grewal, MD

  Associate Professor
  Memorial Hermann Texas Medical Center
  Houston, Texas

  Disclosure(s): No relevant financial relationship(s) to disclose.

Historically, opioids have been the mainstay of therapy for critically ill patients who require analgesia for prevention and management of acute pain, but growing evidence has shown that the short-term use of opioids following surgery in previously opioid-naive patients carries an increased risk of chronic opioid use and is associated with detrimental outcomes. There is also increasing awareness of opioid-related side effects. Various opioid-sparing and opioid-minimizing multimodal pain regimens are emerging, with the potential to reduce exposure to opioids without compromising analgesia. Devising safe and effective therapeutic regimens can be especially challenging in the face of underlying conditions such as organ dysfunction, surgery, or polypharmacy-related adverse events. Multiple protocols for acute pain management include: 1) systemic lidocaine infusion for acute pain management in opioid-naive patients, 2) low-dose ketamine infusion for acute pain management in opioid-dependent surgical patients, and 3) nerve block training for residents and faculty who perform bedside abdominal and chest wall field blocks. This session will focus on the conceptual framework, tools, and literature addressing effective pain management strategies that can improve outcomes and quality of life for critically ill surgical patients. Speakers are pharmacists, physicians, and anesthesiologists, who will share their experiences, including challenges and adaptations.

Presentations:

• Transversus Abdominis Plane Blocks for Perioperative Pain Management
  

  Concurrent Session Faculty: Hina Faisal, MD, – Houston Methodist Hospital
• Ketamine's Growing Role in Opioid-Sparing Analgesic Initiatives
  

  Concurrent Session Faculty: Luma Succar, PharmD, BCCCP, – Houston Methodist Hospital
• Incorporating Systemic Lidocaine Into Multimodal Pain Regimens
  

  Concurrent Session Faculty: Chelsea N. Lopez, BCCCP, PharmD – Houston Methodist Hospital
• Adjunct Agents for Opioid-Sparing Analgesia
  

  Concurrent Session Faculty: Navneet K. Grewal, MD – Memorial Hermann Texas Medical Center