NASS 2018 Annual Meeting

Plenary Session: Envisioning a Narcotic-Free America: Role of Spine Physicians (Room Concourse Hall 151/152)

Moderators: Nathaniel P. Brooks, MD, Joseph S. Cheng, MD, MS

 

The management of surgical pain is often with a shotgun approach leading to an estimated 15% to 45% chronic postsurgical pain that is physically and psychologically exhaustive. Effective postoperative pain control is critical to speedy recovery, early mobilization, short hospital stays, and eventually translating to reduced health care costs.

 

Internationally renowned faculty with extensive experience in non-narcotic pain management and prospective trials will present varying perspectives about how to reduce pain through various methods, including modifications of surgical technique, regional analgesia, ancillary staff training, prehab, use of non-narcotic pharmaceuticals and patient counseling. Faculty also will discuss the mechanisms, merits and demerits of each approach.

 

Upon completion of this session, participants should gain strategies to:

  • Appraise their knowledge about multimodal postoperative pain management
  • Determine non-narcotic interventions for pain control including deform bupivacaine and low dose ketamine
  • Compare the use of minimally invasive methods for reducing tissue trauma and postoperative pain
  • Review the use of regional analgesia for reducing postoperative patient discomfort
  • Know the role of physical therapy and management of post-discharge pain issues
 

Agenda

Epidemiology of Postoperative Pain and Opioid-Related Adverse Events
Karthik Madhavan, MD

 

Upside and Downfalls of NSAIDs to Manage Postoperative Pain
Christoph P. Hofstetter, MD, PhD

 

The Opioid Pendulum: An Equilibrium Position
Jerome Schofferman, MD

 

Use of Epidural Steroids to Minimize Narcotic Use
Fred Geisler, MD, PhD

 

Use of Long Acting Local Anesthetics to Manage Postoperative Pain
Michael Y. Wang, MD

 

Use of Minimally Invasive Surgical Techniques to Minimize Postoperative Pain
Choll W. Kim, MD, PhD

 

Role of Physical Therapy in Mitigating Pain Symptoms
Ryan A. Tauzell, PT, MA, Cert. MDT

 

Discussion, Questions and Answers
Faculty Panel