Opioid Use Overuse And Abuse In Otolaryngology

Prescription opioid abuse has become a major issue around the world, especially within the United States and Canada. Surgeons’ high rate of opioid prescriptions places them in a critical position of working with patients to manage their pain. Opioid Use, Overuse, and Abuse in Otolaryngology, edited by Dr. Ryan J. Li of Oregon Health and Sciences University, takes a comprehensive, practical look at the national opioid epidemic and provides specific otolaryngology-specific data on chronic opioid usage. Discusses perioperative pain management in otolaryngology from an anesthesiology perspective, perioperative pain management in pediatric otolaryngology, rhinology and anterior skull base surgery, facial plastic and reconstructive surgery, neurotology, head and neck cancers, and more. Offers nonopioid analgesic options for otolaryngology-head and neck surgery patients and discusses a structured approach to perioperative pain management. Presents the knowledge and expertise of leading experts who have assembled the most up-to-date recommendations for opioid use, overuse, and abuse, including international pain management approaches. Covers the history of perioperative pain management in otolaryngology-head and neck surgery.

Prescription opioid abuse has become a major issue around the world, especially within the United States and Canada. Surgeons' high rate of opioid prescriptions places them in a critical position of working with patients to manage their pain. Opioid Use, Overuse, and Abuse in Otolaryngology, edited by Dr. Ryan J. Li of Oregon Health and Sciences University, takes a comprehensive, practical look at the national opioid epidemic and provides specific otolaryngology-specific data on chronic opioid usage. Discusses perioperative pain management in otolaryngology from an anesthesiology perspective, perioperative pain management in pediatric otolaryngology, rhinology and anterior skull base surgery, facial plastic and reconstructive surgery, neurotology, head and neck cancers, and more. Offers nonopioid analgesic options for otolaryngology-head and neck surgery patients and discusses a structured approach to perioperative pain management. Presents the knowledge and expertise of leading experts who have assembled the most up-to-date recommendations for opioid use, overuse, and abuse, including international pain management approaches. Covers the history of perioperative pain management in otolaryngology-head and neck surgery.

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Overview of Pain Management for the Otolaryngologist; Pre-Operative Optimization; Local Blocks and Regional Anesthesia in the Head and Neck; Acute Pain Management following Head and Neck Surgery; Acute Pain Management following Sleep Surgery; Perioperative Analgesia for Thyroid and Parathyroid Surgery; Perioperative Analgesia for Sinus Surgery; Perioperative Analgesia following Otologic Surgery; Acute Pain Management following Facial Plastic Surgery; Perioperative Analgesia for Pediatric Patients Undergoing Otolaryngologic Procedures; Non-Opioid Adjuncts and Alternatives; Postoperative Analgesia in the Chronic Pain Patient; Non-Enteral Pain Management; Chronic Pain Management in the Head and Neck Patient; Controlled Substance Agreements; Pain Psychology; Sinus Headache; and Quality Improvement in Pain Medicine.

Obtain all the core knowledge in pain management you need from one of the most trusted resources in the field. The new edition of Practical Management of Pain gives you completely updated, multidisciplinary overview of every aspect of pain medicine, including evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. In print and online, it is all the expert guidance necessary to offer your patients the best possible relief. "In summary, this is the best explanation of what lies behind MRI that I have read, taking what can be a dry subject and making it readily understandable and really interesting. I would recommend it to anyone starting their MRI training and anyone trying to teach MRI to others." Reviewed by RAD Magazine, June 2015 Understand and apply the latest developments in pain medicine with brand-new chapters covering disability assessment, central post-stroke pain, chronic widespread pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Access up-to-the-minute knowledge on all aspects of pain management, from general principles to specific management techniques, with contributions from renowned experts in the field. Read the full text and view all the images online at expertconsult.com. Understand and apply the latest developments in pain management with brand-new chapters covering disability assessment, central post-stroke pain, widespread chronic pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics).

According to the Centers for Disease Control and Prevention (CDC), there were nearly 40,000 opioid-related deaths in the U.S in the last year alone. These numbers have increased considerably for a variety of reasons, and the growing role of prescription drug abuse has been widely recognized. There has also been increasing consciousness of the lack of dedicated and formalized training dedicated to prescription of analgesics, particularly among surgical trainees and practicing surgeons. Recent studies demonstrate that only a small minority of training programs mandates any opioid prescribing education, despite the fact that nearly all programs allow trainee prescription of opioids on an outpatient basis. Therefore, it is not surprising that despite a growing body of literature illustrating the value of opioid alternatives and adjuncts, practicing surgeons in all specialties largely ignore these evidence-based practices and continue to prescribe opioids in situations for which alternatives are proven, safe, and effective. There are many reasons for preparing a concise and practical resource describing evidence-based practices targeting surgeons and surgical subspecialists, including but not limited to: (1) The exponential increase in prescription drug abuse associated with the “opioid epidemic,” as surgeons play an important role in managing perioperative and chronic pain in a variety of practice setting; this issue bears importance from the patient, physician, and policymaker standpoint; (2) With increasing recognition of the role of quality improvement in patient safety initiatives, and literature demonstrating inadequate opioid prescribing education (OPE) in surgical training programs, it is only a matter of time before accreditation bodies including the ACGME incorporate strong recommendations and mandates for OPE; (3) Myriad literature demonstrating the existence of evidence-based alternatives to opioids – All surgeons and surgical subspecialists would benefit from a practical guide concisely laying this literature out. We feel that surgeons of all experience levels may benefit, ranging from the first year surgical intern to an experienced practitioner trying to remain compliant with the evolving opioid regulatory environment. Hence, the appropriate target audience for this text would be for the tens of thousands of current surgical trainees in many specialties, including general surgery, thoracic surgery, otolaryngology, plastic surgery, urology, gynecology, vascular surgery, neurosurgery, and orthopedic surgery. Furthermore, surgeons out of training would be another audience of interest, as there are increasing courses for continuing medical education based on perioperative and chronic pain management. Currently, there are no comparable and competitive guides with these target audiences; all of the existing literature about perioperative and chronic pain is targeted either specifically for patients, anesthesiologists, or pain medicine physicians. This will be the only up to date guide focusing on evidence-based practices for perioperative pain control, and each section will also include information on chronic pain sequelae relevant to each surgical specialty. The editors envision this text being an interdisciplinary endeavor, incorporating surgeons from multiple specialties, anesthesiologists, pain medicine physicians, and palliative physicians as appropriate.

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Indispensable for all otolaryngologists who see children in their practice, as well as fellows and others in training, Cummings Pediatric Otolaryngology offers comprehensive, state-of-the-art coverage for evaluation and treatment of children with otolaryngologic disorders. The 2nd Edition features revised and updated content and numerous new chapters throughout, making it your #1 resource for the latest information, techniques, and treatments on improving otolaryngologic outcomes for children. Offers expanded discussion of common comorbidities occurring in children as well as challenging clinical problems in both healthy and medically complex children. Includes extensive new content on otology, as well as new chapters on pediatric speech disorders, 22q11.2 deletion syndrome, pediatric cochlear implantation, laryngotracheal clefts, pediatric tracheotomy and decannulation, and more. Covers hot topics such as evaluation and management of pediatric vestibular disorders and ankyloglossia and tight maxillary frenula. Provides detailed, authoritative coverage of every area of head and neck surgery, authored by leading experts in the field and carefully edited by a senior pediatric otolaryngologist, Dr. Marci M. Lesperance. Includes an all-new electronic appendix with supplemental pediatric content from Cummings Otolaryngology Head and Neck Surgery, 7th edition and additional references. Features superb, full-color illustrations throughout.

Integrative Addiction and Recovery offers an authentic model of comprehensive integrative modalities germane and specific to the field of addiction and recovery treatment. Although many treatment services for addiction include "holistic," "alternative," or "integrative" in their descriptions, they contain no substantive programs or services consistent with the mind, body, spirit paradigm contained within the integrative approach to health and healing. Consequently, many patients do not have the opportunity to benefit from the true spirit of an integrative approach within the discipline of addition and recovery medicine. This book sets the standard for a bona fide integrative approach for others to follow, providing information that is immediately useful in clinical practice and rigorously evidence-based. Authored by world-class experts in the field of addiction medicine, Integrative Addiction and Recovery presents both scientific and holistic data regarding a wide variety of holistic and conventional approaches to the treatment of substance abuse and behavioral addictions. Its chapters cover both conventional and holistic treatment and provide background for each of the major classes of drugs of abuse, including opiates, alcohol, tobacco, stimulants, sedative-hypnotics, hallucinogens and marijuana. It also includes chapters on the topics of food addiction and behavioral addictions such as gambling and shopping. The authors explore the major holistic modalities, providing background and theory in areas like acupuncture, Traditional Chinese Medicine, Homeopathy, Aromatherapy, and Ayurvedic Medicine, while at the same time providing spiritual approach chapters on Shamanism and Ibogaine, as well as more conventional issues with a holistic view including Co-Occurring Disorders and Psychosocial Treatment, and Group Support. The very complex issue of chronic pain and addiction is also addressed, along with relapse prevention strategies.