Opioid Use Overuse and Abuse in Otolaryngology E Book

Opioid Use  Overuse  and Abuse in Otolaryngology   E Book
Author: Ryan J. Li
Publsiher: Elsevier Health Sciences
Total Pages: 246
Release: 2021-11-12
Genre: Medical
ISBN: 9780323790178

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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.

Opioid Use Overuse and Abuse in Otolaryngology

Opioid Use  Overuse  and Abuse in Otolaryngology
Author: Ryan J. Li
Publsiher: Elsevier
Total Pages: 244
Release: 2021-12
Genre: Medical
ISBN: 032379016X

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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.

Pain Management for the Otolaryngologist An Issue of Otolaryngologic Clinics of North America E Book

Pain Management for the Otolaryngologist An Issue of Otolaryngologic Clinics of North America  E Book
Author: Anna.A Pashkova,Peter.F Svider,Jean Anderson Eloy
Publsiher: Elsevier Health Sciences
Total Pages: 257
Release: 2020-09-13
Genre: Medical
ISBN: 9780323733045

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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.

Perioperative Pain Control Tools for Surgeons

Perioperative Pain Control  Tools for Surgeons
Author: Peter F. Svider,Anna A. Pashkova,Andrew P. Johnson
Publsiher: Springer Nature
Total Pages: 352
Release: 2021-01-21
Genre: Medical
ISBN: 9783030560812

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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.

Acute Pain Management

Acute Pain Management
Author: Pamela E. Macintyre,Stephan A. Schug
Publsiher: CRC Press
Total Pages: 262
Release: 2021-06-20
Genre: Medical
ISBN: 9781000379716

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With a focus on practical acute pain management in adults in the hospital setting, this book provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. • Combines evidence-based information with practical guidelines and protocols • Covers the pharmacology of opioids, local anesthetics, and nonopioid and adjuvant analgesic agents • Discusses management of acute pain in both surgical and nonsurgical acute pain settings including in patients with spinal cord or burns injuries and selected medical illnesses • Includes evidence-based information about management of acute pain in some specific patient groups , including the older patient, opioid-tolerant patients, and those with addiction disorders, pregnant or lactating patients and patients with obstructive sleep apnea or who have renal or hepatic impairment • Considers the role of acute pain management in the context of the current opioid epidemic and identifies possible strategies to minimise the risks. This resource will be helpful to a variety of professionals in assessing and managing acute pain.

Integrative Addiction and Recovery

Integrative Addiction and Recovery
Author: Shahla Modir,George Munoz
Publsiher: Oxford University Press
Total Pages: 480
Release: 2018-11-13
Genre: Medical
ISBN: 9780190275341

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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.

Framing Opioid Prescribing Guidelines for Acute Pain

Framing Opioid Prescribing Guidelines for Acute Pain
Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain
Publsiher: National Academies Press
Total Pages: 223
Release: 2020-03-20
Genre: Medical
ISBN: 9780309496872

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The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.

The Benzodiazepines Crisis

The Benzodiazepines Crisis
Author: John Peppin,Joseph V. Pergolizzi,Robert B. Raffa,Steven L. Wright
Publsiher: Oxford University Press, USA
Total Pages: 289
Release: 2020-10-21
Genre: Medical
ISBN: 9780197517277

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"Benzodiazepines were developed to treat legitimate medical needs. However, unbridled success and prescribing beyond their intended duration of use and the available data has led to excessive prescribing, extended utilization beyond good therapeutic practice, and unintended adverse effects and substance use disorder. This book is the first to bring to light and discuss the largely unrecognized and enigmatic problem of an exceedingly prolonged withdrawal syndrome from benzodiazepines that can persist for months or years in susceptible patients, and the medical need for better evidence-based prescribing of benzodiazepines, and a call for the recognition and better treatment of the prolonged withdrawal syndrome"--