#299 Acute Pain Management for the Hospitalist

The Curbsiders Internal Medicine Podcast

Confidently manage acute pain in the hospital! In this episode listeners will learn how to develop a multimodal analgesia plan for acute pain in the hospital, as well as how to safely initiate and discharge a patient on opioids. We’re joined by Dr. Melissa Weimer @DrMelissaWeimer (Yale School of Medicine).

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Credits

• Producer and Writer: Carolyn Chan, MD
• Script: Carolyn Chan, MD, Avi O’Glasser, MD
• Cover Art and Infographic: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
• Reviewer: Emi Okamoto, MD
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest: Melissa Weimer DO

Sponsor: ACP’s National Internal Medicine Day

Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.

Sponsor: Green Chef

Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping!

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Show Segments

• 01:39 Intro, disclaimer, guest bio
• 03:20 Guest one-liner, Picks of the Week
• 09:18 Case from Kashlak; Definitions
• 11:00 Assessing Acute Pain
• 12:12 Types of Pain
• 15:08 Initiating Opioids
• 22:32 Counseling on Opioid Exit Strategy
• 25:26 Opioid Dependence vs. Opioid Use Disorder
• 29:50 Post-Op Pain Management
• 31:00 Other cool stuff
• 37:00 PCA
• 41:00 Opioid Taper
• 46:50 Acute Pain and Opioid Use Disorder
• 58:00 Methadone Titration
• 1:04:00 Outro