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Brunch With the Experts: Addressing Challenges and Personalizing Care in Post-Surgical Pain Management

Brunch With the Experts: Addressing Challenges and Personalizing Care in Post-Surgical Pain Management


PER Pulse™ Recap

Resources

Addressing Challenges and Personalizing Care in Postsurgical Pain Management - Brunch With the Experts
Earn up to 2.0 AMA PRA Category 1 Credits™
Addressing Challenges and Personalizing Care in Postsurgical Pain Management – Brunch With the Experts is an online continuing medical education (CME)‒certified activity based on a live symposium that was broadcasted to 6 locations across the United States.

PER Pulse™ Recap
PER Pulse™ Recaps for Community Practice Connections™: 1st Annual European Congress on Hematology™: Focus on Lymphoid Malignancies


PER Pulse™ Recap

 

1 of 3
PER Pulse Recap

Multimodality Pain Management: What, When, and How

Addressing Challenges and Personalizing Care in Postsurgical Pain Management – Brunch With the Experts featured nationally recognized experts in postsurgical pain management in breast cancer. Program Chair Patrick Borgen, MD, along with faculty, Jeff Gadsden, MD, and Michel Saint-Cyr, MD, discussed strategies for delivering multimodal pain management, personalizing care, and overcoming clinical challenges in pain management; exchanged perspectives and suggestions for improving the delivery of multidisciplinary care; and reviewed current and emerging standards of care in perioperative pain management in breast cancer.

This first of 3 PER Pulse™ Recaps from this online program focuses on Dr. Gadsden’s presentation on the etiology of pain in patients undergoing breast cancer surgery, and how various analgesics target different aspects of pain signaling. Throughout his presentation, the panelists share best practices regarding perioperative pain management, including their approaches toward multidisciplinary planning and patient counseling. Issues discussed in detail by the panel included:

  • Multimodal analgesia strategies that use a variety of agents to target different pain signaling pathways at various points, with a key goal of reducing opioid use
  • Systemic and locoregional pain-control strategies that they use prior to the initiation of a surgical procedure
  • Controversies surrounding the use of ketorolac, as well preoperative NPO policies, for patients undergoing breast cancer surgery
  • Best practices for locoregional anesthesia and postoperative pain protocols

For more on this discussion, visit www.gotoper.com.



2 of 3
PER Pulse™ Recap

Tailoring Postsurgical Pain Management as a Method to Personalize Care

Addressing Challenges and Personalizing Care in Postsurgical Pain Management – Brunch With the Experts featured nationally recognized experts in postsurgical pain management in breast cancer. Program Chair Patrick Borgen, MD, along with faculty, Jeff Gadsden, MD, and Michel Saint-Cyr, MD, discussed strategies for delivering multimodal pain management, personalizing care, and overcoming clinical challenges in pain management; exchanged perspectives and suggestions for improving the delivery of multidisciplinary care; and reviewed current and emerging standards of care in perioperative pain management in breast cancer.

This second of 3 PER Pulse™ Recaps from this online program focuses on Dr. Saint-Cyr’s presentation of a breast surgical and video demonstrations of transversus abdominis plane (TAP) and rectus sheath blocks with liposomal bupivacaine. The expert panel discusses implementation of enhanced recovery after surgery (ERAS) protocols and opioid-sparing strategies into practice, and the successes they have achieved with these approaches. Issues discussed in detail by the panel included:

  • Importance of building a multidisciplinary team (anesthesiology, nursing, other colleagues) to establish optimized standardized pain management protocols that embrace the approach of ERAS protocols
  • Widespread availability of ERAS protocols (eg, American Society for Enhanced Recovery)
  • Association of breast surgery ERAS protocols with reduced length of stay in hospital, reduced use of intensive care unit, and fewer days to first walk
  • Importance of patient preconditioning to achieving success with ERAS protocols (management of patient expectations, preoperative education, wellness program to reduce operative risks, information package and consult with nurse educator, family education and assessment of ‘home-ready” status, surgical site infection reduction protocols)
  • Strategies to maintain postoperative pain control without a prescription for narcotics (eg, around-the-clock use of gabapentin and acetaminophen for 7 days postoperatively)
  • Suggested techniques for TAP and rectus sheath blocks with liposomal bupivacaine

For more on this discussion, visit www.gotoper.com.


3 of 3
PER Pulse™ Recap

Addressing Challenges and Personalizing Care in Postsurgical Pain Management – Brunch With the Experts featured nationally recognized experts in postsurgical pain management in breast cancer. Program Chair Patrick Borgen, MD, along with faculty, Jeff Gadsden, MD, and Michel Saint-Cyr, MD, discussed strategies for delivering multimodal pain management, personalizing care, and overcoming clinical challenges in pain management; exchanged perspectives and suggestions for improving the delivery of multidisciplinary care; and reviewed current and emerging standards of care in perioperative pain management in breast cancer.

This third of 3 PER Pulse™ Recaps from this online program focuses on a panel discussion of clinical challenges submitted by a live audience. Specific issues discussed in detail by the panel included:

  • Recommendations for postoperative breakthrough pain management and re-administration of liposomal bupivacaine
  • Importance of educating the multidisciplinary team on standards of care in multimodal pain management
  • Value associated with multimodal pain management programs
  • Retrospective data on associations between decreased postoperative pain rates and decreased rates of recurrence
  • Benchmarks to monitor success of breast surgery ERAS programs
  • Intraoperative pain management for prepectoral breast reconstruction

For more on this discussion, visit www.gotoper.com.








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