Last month, President Trump declared the opioid crisis a public health emergency. Ninety-one Americans die each day from opioid overdose. The SAMBA panel at the ASA 2017 meeting occurred this past October, in Boston had discussed the implications of the opioid crisis in the ambulatory setting.
The session titled: The Opioid Epidemic: Implications for Ambulatory Anesthesia, featured four speakers, Niraja Rajan, MD, Richard Urman, MD, David Dickerson, MD, and Bobbie Jean Sweitzer, MD.
Dr. Rajan spoke about the past, present and future of the opioid crisis, outlined the circumstances that led to the current state and presented strategies to mitigate and combat the crisis. Dr. Urman presented evidence related to opioid-induced hyperalgesia, measures to avoid or minimize it and advocated the use of multimodal analgesia. Dr. Dickerson spoke about where ambulatory surgery centers fit in the opioid crisis. He elaborated the role of ASCs in mitigating the opioid epidemic by managing patient expectations and minimizing the use of opioids after routine ambulatory surgery. Dr. Sweitzer spoke about identifying patient s at high risk for persistent postoperative pain after ambulatory surgery and strategies for prevention of chronic pain after ambulatory surgery.
The panel was well attended and prompted lively discussions amongst the panelists and members of the audience.
Pictured from left to right: Drs. Rajan, Urman, Sweitzer, and Dickerson.