SlideShare a Scribd company logo
1 of 35
Basics of Acute and Chronic Pain Medicine for the Otolaryngologist Yury Khelemsky, MD Assistant Professor Anesthesiology and Interventional Pain Medicine The Mount Sinai Medical Center
Introduction ,[object Object],[object Object],[object Object],[object Object]
Acute Pain ,[object Object],[object Object],[object Object]
Benefits of Effective Postoperative Analgesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Satisfaction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Postoperative Pain ,[object Object],[object Object],[object Object]
Multimodal Analgesia Multimodal analgesia:  combination of pain medications that act on different receptors at various points in pain transmission.
Preemptive Analgesia ,[object Object],[object Object]
Preemptive Analgesia: Local ,[object Object],[object Object]
Preemptive Analgesia: Systemic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perioperative Regional Anesthesia ,[object Object],[object Object],[object Object]
Perioperative Regional Anesthesia ,[object Object],[object Object]
Perioperative Analgesics Opioids ,[object Object],[object Object],[object Object],[object Object],[object Object]
Perioperative Analgesics Opioids Opioid IV equianalgesic dose to  morphine 10mg IV  (mg) Fentanyl 0.1-0.2 Methadone 5-10 Morphine Hydromorphone 2 Sufentanyl 0.01 Remifentanyl 0.05-0.1
Perioperative Analgesics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Perioperative PO Analgesics ,[object Object],[object Object],[object Object],[object Object]
Chronic Pain Management ,[object Object],[object Object]
Chronic Opioid Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic Opioid Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Craniofacial Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Central Facial Pain International Classification of Headache Disorders ,[object Object],[object Object],[object Object],[object Object]
Central Facial Pain International Classification of Headache Disorders ,[object Object],[object Object],[object Object],[object Object]
Central Facial Pain International Classification of Headache Disorders ,[object Object],[object Object],[object Object]
Central Facial Pain International Classification of Headache Disorders ,[object Object],[object Object],[object Object]
Central Facial Pain International Classification of Headache Disorders ,[object Object],[object Object],[object Object],[object Object]
Central Craniofacial Pain Interventional Therapy ,[object Object],[object Object],[object Object]
Neuralgias Glossopharyngeal Neuralgia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neuralgias Trigeminal Neuralgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuralgias Trigeminal Neuralgia:  Interventional Treatments ,[object Object],[object Object],[object Object],[object Object]
Cancer Pain ,[object Object],[object Object]
Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sinus Headache ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sinus Headache ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sinus Headache ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object]

More Related Content

What's hot (20)

Vestibular function test and its clinical examination
Vestibular function test and its clinical examinationVestibular function test and its clinical examination
Vestibular function test and its clinical examination
 
Facial nerve and its disorders
Facial nerve and its disordersFacial nerve and its disorders
Facial nerve and its disorders
 
Facial nerve examination . Cranial nerve 7
Facial nerve examination . Cranial nerve 7Facial nerve examination . Cranial nerve 7
Facial nerve examination . Cranial nerve 7
 
Facial palsy
Facial palsyFacial palsy
Facial palsy
 
Multimodal pain management following surgical procedures
Multimodal pain management following surgical proceduresMultimodal pain management following surgical procedures
Multimodal pain management following surgical procedures
 
Approach to Peripheral neuropathy
Approach to Peripheral neuropathyApproach to Peripheral neuropathy
Approach to Peripheral neuropathy
 
Neuroprotection in neurology
Neuroprotection in neurologyNeuroprotection in neurology
Neuroprotection in neurology
 
BIG and LOUD
BIG and LOUDBIG and LOUD
BIG and LOUD
 
Bells palsy
Bells palsyBells palsy
Bells palsy
 
Facial nerve
Facial nerveFacial nerve
Facial nerve
 
Panendoscopy
PanendoscopyPanendoscopy
Panendoscopy
 
Practical Approach to headache
Practical  Approach to headachePractical  Approach to headache
Practical Approach to headache
 
Local Anesthetics
Local AnestheticsLocal Anesthetics
Local Anesthetics
 
Vocal cord paralysis
Vocal  cord  paralysisVocal  cord  paralysis
Vocal cord paralysis
 
LASERs in ent
LASERs in ent LASERs in ent
LASERs in ent
 
Polysomnography
PolysomnographyPolysomnography
Polysomnography
 
Interventional Pain Management
Interventional Pain ManagementInterventional Pain Management
Interventional Pain Management
 
Managament Of Migraine
Managament Of MigraineManagament Of Migraine
Managament Of Migraine
 
Myasthenic crisis
Myasthenic crisisMyasthenic crisis
Myasthenic crisis
 
Facial palsy
Facial palsyFacial palsy
Facial palsy
 

Viewers also liked

Acute and chronic sinusitis
Acute and chronic sinusitisAcute and chronic sinusitis
Acute and chronic sinusitisDr.AKSHAY B K
 
Multimodal analgesia Al Razi hospital Kuwait
Multimodal analgesia Al Razi hospital KuwaitMultimodal analgesia Al Razi hospital Kuwait
Multimodal analgesia Al Razi hospital KuwaitFarah Jafri
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementPrasanna Somvanshi
 
Sinusitis aguda y crónica- rinitis alérgica
Sinusitis aguda y crónica- rinitis alérgicaSinusitis aguda y crónica- rinitis alérgica
Sinusitis aguda y crónica- rinitis alérgicaMario RodriguezySilva
 
NSAIDs in clinical orthopaedic practice
NSAIDs in clinical orthopaedic practiceNSAIDs in clinical orthopaedic practice
NSAIDs in clinical orthopaedic practicevinod naneria
 
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...European hernia society guidelines: Adult Inguinal Hernia (Post operative car...
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...Jibran Mohsin
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Managementcpppaincenter
 
Acute pain management & preemptive analgesia (3)
Acute pain management & preemptive analgesia (3)Acute pain management & preemptive analgesia (3)
Acute pain management & preemptive analgesia (3)DR SHADAB KAMAL
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementHriday Ranjan Roy
 
Nonsteroidal anti inflammatory drugs (NSAIDS)
Nonsteroidal anti inflammatory drugs (NSAIDS)Nonsteroidal anti inflammatory drugs (NSAIDS)
Nonsteroidal anti inflammatory drugs (NSAIDS)abdul waheed
 
Post operative care
Post operative care Post operative care
Post operative care leohome
 

Viewers also liked (17)

ENT case
ENT caseENT case
ENT case
 
Acute and chronic sinusitis
Acute and chronic sinusitisAcute and chronic sinusitis
Acute and chronic sinusitis
 
Headache in ENT
Headache in ENTHeadache in ENT
Headache in ENT
 
Multimodal analgesia Al Razi hospital Kuwait
Multimodal analgesia Al Razi hospital KuwaitMultimodal analgesia Al Razi hospital Kuwait
Multimodal analgesia Al Razi hospital Kuwait
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain management
 
Sinusitis aguda y crónica- rinitis alérgica
Sinusitis aguda y crónica- rinitis alérgicaSinusitis aguda y crónica- rinitis alérgica
Sinusitis aguda y crónica- rinitis alérgica
 
NSAIDs in clinical orthopaedic practice
NSAIDs in clinical orthopaedic practiceNSAIDs in clinical orthopaedic practice
NSAIDs in clinical orthopaedic practice
 
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...European hernia society guidelines: Adult Inguinal Hernia (Post operative car...
European hernia society guidelines: Adult Inguinal Hernia (Post operative car...
 
Migraine
MigraineMigraine
Migraine
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Management
 
Acute pain management & preemptive analgesia (3)
Acute pain management & preemptive analgesia (3)Acute pain management & preemptive analgesia (3)
Acute pain management & preemptive analgesia (3)
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain management
 
Post operative complications
Post operative complicationsPost operative complications
Post operative complications
 
Sinusitis.. Dr.Prashant Modi
Sinusitis.. Dr.Prashant ModiSinusitis.. Dr.Prashant Modi
Sinusitis.. Dr.Prashant Modi
 
NSAIDs (VK)
NSAIDs (VK)NSAIDs (VK)
NSAIDs (VK)
 
Nonsteroidal anti inflammatory drugs (NSAIDS)
Nonsteroidal anti inflammatory drugs (NSAIDS)Nonsteroidal anti inflammatory drugs (NSAIDS)
Nonsteroidal anti inflammatory drugs (NSAIDS)
 
Post operative care
Post operative care Post operative care
Post operative care
 

Similar to Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)

Cancer Pain: Introduction and Medical Management
Cancer Pain: Introduction and Medical ManagementCancer Pain: Introduction and Medical Management
Cancer Pain: Introduction and Medical Managementyury
 
Orofacial Pain
Orofacial PainOrofacial Pain
Orofacial PainHadi Munib
 
Trigeminal neuralgia
Trigeminal neuralgiaTrigeminal neuralgia
Trigeminal neuralgiayury
 
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.ppt
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.pptcraniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.ppt
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.pptDeniseMathre1
 
Presentation on heADCAHE AND FACIAL PAIN.pptx
Presentation on heADCAHE AND FACIAL PAIN.pptxPresentation on heADCAHE AND FACIAL PAIN.pptx
Presentation on heADCAHE AND FACIAL PAIN.pptxdruttamnepal
 
FUTURE TRENDS IN PAIN CONTROL
FUTURE TRENDS IN PAIN CONTROLFUTURE TRENDS IN PAIN CONTROL
FUTURE TRENDS IN PAIN CONTROLSuba Shree
 
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D students
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D studentsSeminar on neuralgia by sharad chand, Refer note for 4rth Pharm D students
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D studentsDr. Sharad Chand
 
Trigeminal Neuralgia
Trigeminal NeuralgiaTrigeminal Neuralgia
Trigeminal Neuralgiashabeel pn
 
Interventional Techniques For Cancer Pain Management.
Interventional Techniques For Cancer Pain Management.Interventional Techniques For Cancer Pain Management.
Interventional Techniques For Cancer Pain Management.guest7342323
 
Orofacial pain / Dr.Sarah alkhateeb
Orofacial pain / Dr.Sarah alkhateebOrofacial pain / Dr.Sarah alkhateeb
Orofacial pain / Dr.Sarah alkhateebDr.Sarah Al-khateeb
 
orofacial pain
orofacial painorofacial pain
orofacial painshabeel pn
 
Cervical epidural
Cervical epiduralCervical epidural
Cervical epiduralAshok Jadon
 

Similar to Basics of acute and chronic pain medicine for the Otolaryngologist (ENT) (20)

Cancer Pain: Introduction and Medical Management
Cancer Pain: Introduction and Medical ManagementCancer Pain: Introduction and Medical Management
Cancer Pain: Introduction and Medical Management
 
Neuro pain 60 mins
Neuro pain 60 minsNeuro pain 60 mins
Neuro pain 60 mins
 
Neuro pain 60 mins
Neuro pain 60 minsNeuro pain 60 mins
Neuro pain 60 mins
 
Orofacial Pain
Orofacial PainOrofacial Pain
Orofacial Pain
 
Trigeminal neuralgia
Trigeminal neuralgiaTrigeminal neuralgia
Trigeminal neuralgia
 
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.ppt
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.pptcraniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.ppt
craniofacial_pain EXCELLENTSLIDES PLUS TRIGEMINAL.ppt
 
Presentation on heADCAHE AND FACIAL PAIN.pptx
Presentation on heADCAHE AND FACIAL PAIN.pptxPresentation on heADCAHE AND FACIAL PAIN.pptx
Presentation on heADCAHE AND FACIAL PAIN.pptx
 
diagnosis and management of fascial pain
diagnosis and management of fascial pain diagnosis and management of fascial pain
diagnosis and management of fascial pain
 
FUTURE TRENDS IN PAIN CONTROL
FUTURE TRENDS IN PAIN CONTROLFUTURE TRENDS IN PAIN CONTROL
FUTURE TRENDS IN PAIN CONTROL
 
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D students
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D studentsSeminar on neuralgia by sharad chand, Refer note for 4rth Pharm D students
Seminar on neuralgia by sharad chand, Refer note for 4rth Pharm D students
 
Neuropathic pain
Neuropathic painNeuropathic pain
Neuropathic pain
 
Trigeminal Neuralgia
Trigeminal NeuralgiaTrigeminal Neuralgia
Trigeminal Neuralgia
 
Interventional Techniques For Cancer Pain Management.
Interventional Techniques For Cancer Pain Management.Interventional Techniques For Cancer Pain Management.
Interventional Techniques For Cancer Pain Management.
 
Orofacial pain / Dr.Sarah alkhateeb
Orofacial pain / Dr.Sarah alkhateebOrofacial pain / Dr.Sarah alkhateeb
Orofacial pain / Dr.Sarah alkhateeb
 
PAIN MX OF CANCER PATIENT.pptx
PAIN MX OF CANCER PATIENT.pptxPAIN MX OF CANCER PATIENT.pptx
PAIN MX OF CANCER PATIENT.pptx
 
orofacial pain
orofacial painorofacial pain
orofacial pain
 
Drug therapy of neuralgias prof satyanarayan
Drug therapy of neuralgias prof satyanarayan Drug therapy of neuralgias prof satyanarayan
Drug therapy of neuralgias prof satyanarayan
 
trigeminal neuralgia
trigeminal neuralgiatrigeminal neuralgia
trigeminal neuralgia
 
Trigeminal neuralgia
Trigeminal neuralgiaTrigeminal neuralgia
Trigeminal neuralgia
 
Cervical epidural
Cervical epiduralCervical epidural
Cervical epidural
 

More from yury

Low back pain neuro exam
Low back pain neuro examLow back pain neuro exam
Low back pain neuro examyury
 
Kyphoplasty
KyphoplastyKyphoplasty
Kyphoplastyyury
 
Urine Toxicology Testing
Urine Toxicology TestingUrine Toxicology Testing
Urine Toxicology Testingyury
 
Neuropathic agents
Neuropathic agentsNeuropathic agents
Neuropathic agentsyury
 
Opioid lecture
Opioid lectureOpioid lecture
Opioid lectureyury
 
Management of neck pain
Management of neck painManagement of neck pain
Management of neck painyury
 
E&M
E&ME&M
E&Myury
 
Intradiscal procedures
Intradiscal proceduresIntradiscal procedures
Intradiscal proceduresyury
 
Rational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyRational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyyury
 
Aba asa opioids
Aba asa opioidsAba asa opioids
Aba asa opioidsyury
 
CRPS
CRPSCRPS
CRPSyury
 
Pain medicine cases
Pain medicine casesPain medicine cases
Pain medicine casesyury
 
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain ManagementPediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain Managementyury
 
Spinal Cord Stimulation Primer
Spinal Cord Stimulation PrimerSpinal Cord Stimulation Primer
Spinal Cord Stimulation Primeryury
 
Comprehensive it pump
Comprehensive it pumpComprehensive it pump
Comprehensive it pumpyury
 
Anticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial TechniquesAnticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial Techniquesyury
 
Placebo & pain
Placebo & painPlacebo & pain
Placebo & painyury
 
Pediatric Pain Management
Pediatric Pain ManagementPediatric Pain Management
Pediatric Pain Managementyury
 
Post herpetic neuralgia
Post herpetic neuralgiaPost herpetic neuralgia
Post herpetic neuralgiayury
 
Neuropathic pain revised 2010
Neuropathic pain revised 2010Neuropathic pain revised 2010
Neuropathic pain revised 2010yury
 

More from yury (20)

Low back pain neuro exam
Low back pain neuro examLow back pain neuro exam
Low back pain neuro exam
 
Kyphoplasty
KyphoplastyKyphoplasty
Kyphoplasty
 
Urine Toxicology Testing
Urine Toxicology TestingUrine Toxicology Testing
Urine Toxicology Testing
 
Neuropathic agents
Neuropathic agentsNeuropathic agents
Neuropathic agents
 
Opioid lecture
Opioid lectureOpioid lecture
Opioid lecture
 
Management of neck pain
Management of neck painManagement of neck pain
Management of neck pain
 
E&M
E&ME&M
E&M
 
Intradiscal procedures
Intradiscal proceduresIntradiscal procedures
Intradiscal procedures
 
Rational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyRational use of opioids in anesthesiology
Rational use of opioids in anesthesiology
 
Aba asa opioids
Aba asa opioidsAba asa opioids
Aba asa opioids
 
CRPS
CRPSCRPS
CRPS
 
Pain medicine cases
Pain medicine casesPain medicine cases
Pain medicine cases
 
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain ManagementPediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
 
Spinal Cord Stimulation Primer
Spinal Cord Stimulation PrimerSpinal Cord Stimulation Primer
Spinal Cord Stimulation Primer
 
Comprehensive it pump
Comprehensive it pumpComprehensive it pump
Comprehensive it pump
 
Anticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial TechniquesAnticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial Techniques
 
Placebo & pain
Placebo & painPlacebo & pain
Placebo & pain
 
Pediatric Pain Management
Pediatric Pain ManagementPediatric Pain Management
Pediatric Pain Management
 
Post herpetic neuralgia
Post herpetic neuralgiaPost herpetic neuralgia
Post herpetic neuralgia
 
Neuropathic pain revised 2010
Neuropathic pain revised 2010Neuropathic pain revised 2010
Neuropathic pain revised 2010
 

Recently uploaded

Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17Celine George
 
4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptxmary850239
 
Global Lehigh Strategic Initiatives (without descriptions)
Global Lehigh Strategic Initiatives (without descriptions)Global Lehigh Strategic Initiatives (without descriptions)
Global Lehigh Strategic Initiatives (without descriptions)cama23
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxlancelewisportillo
 
Karra SKD Conference Presentation Revised.pptx
Karra SKD Conference Presentation Revised.pptxKarra SKD Conference Presentation Revised.pptx
Karra SKD Conference Presentation Revised.pptxAshokKarra1
 
4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptxmary850239
 
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTS
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTSGRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTS
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTSJoshuaGantuangco2
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...Nguyen Thanh Tu Collection
 
Barangay Council for the Protection of Children (BCPC) Orientation.pptx
Barangay Council for the Protection of Children (BCPC) Orientation.pptxBarangay Council for the Protection of Children (BCPC) Orientation.pptx
Barangay Council for the Protection of Children (BCPC) Orientation.pptxCarlos105
 
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...JhezDiaz1
 
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdf
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdfVirtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdf
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdfErwinPantujan2
 
How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17Celine George
 
Choosing the Right CBSE School A Comprehensive Guide for Parents
Choosing the Right CBSE School A Comprehensive Guide for ParentsChoosing the Right CBSE School A Comprehensive Guide for Parents
Choosing the Right CBSE School A Comprehensive Guide for Parentsnavabharathschool99
 
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...Postal Advocate Inc.
 
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptx
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptxMusic 9 - 4th quarter - Vocal Music of the Romantic Period.pptx
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptxleah joy valeriano
 
Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Celine George
 
AUDIENCE THEORY -CULTIVATION THEORY - GERBNER.pptx
AUDIENCE THEORY -CULTIVATION THEORY -  GERBNER.pptxAUDIENCE THEORY -CULTIVATION THEORY -  GERBNER.pptx
AUDIENCE THEORY -CULTIVATION THEORY - GERBNER.pptxiammrhaywood
 
Influencing policy (training slides from Fast Track Impact)
Influencing policy (training slides from Fast Track Impact)Influencing policy (training slides from Fast Track Impact)
Influencing policy (training slides from Fast Track Impact)Mark Reed
 

Recently uploaded (20)

Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
Incoming and Outgoing Shipments in 3 STEPS Using Odoo 17
 
4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx
 
Global Lehigh Strategic Initiatives (without descriptions)
Global Lehigh Strategic Initiatives (without descriptions)Global Lehigh Strategic Initiatives (without descriptions)
Global Lehigh Strategic Initiatives (without descriptions)
 
Raw materials used in Herbal Cosmetics.pptx
Raw materials used in Herbal Cosmetics.pptxRaw materials used in Herbal Cosmetics.pptx
Raw materials used in Herbal Cosmetics.pptx
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
 
Karra SKD Conference Presentation Revised.pptx
Karra SKD Conference Presentation Revised.pptxKarra SKD Conference Presentation Revised.pptx
Karra SKD Conference Presentation Revised.pptx
 
4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx
 
YOUVE_GOT_EMAIL_PRELIMS_EL_DORADO_2024.pptx
YOUVE_GOT_EMAIL_PRELIMS_EL_DORADO_2024.pptxYOUVE_GOT_EMAIL_PRELIMS_EL_DORADO_2024.pptx
YOUVE_GOT_EMAIL_PRELIMS_EL_DORADO_2024.pptx
 
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTS
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTSGRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTS
GRADE 4 - SUMMATIVE TEST QUARTER 4 ALL SUBJECTS
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
 
Barangay Council for the Protection of Children (BCPC) Orientation.pptx
Barangay Council for the Protection of Children (BCPC) Orientation.pptxBarangay Council for the Protection of Children (BCPC) Orientation.pptx
Barangay Council for the Protection of Children (BCPC) Orientation.pptx
 
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
 
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdf
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdfVirtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdf
Virtual-Orientation-on-the-Administration-of-NATG12-NATG6-and-ELLNA.pdf
 
How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17
 
Choosing the Right CBSE School A Comprehensive Guide for Parents
Choosing the Right CBSE School A Comprehensive Guide for ParentsChoosing the Right CBSE School A Comprehensive Guide for Parents
Choosing the Right CBSE School A Comprehensive Guide for Parents
 
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...
USPS® Forced Meter Migration - How to Know if Your Postage Meter Will Soon be...
 
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptx
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptxMusic 9 - 4th quarter - Vocal Music of the Romantic Period.pptx
Music 9 - 4th quarter - Vocal Music of the Romantic Period.pptx
 
Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17
 
AUDIENCE THEORY -CULTIVATION THEORY - GERBNER.pptx
AUDIENCE THEORY -CULTIVATION THEORY -  GERBNER.pptxAUDIENCE THEORY -CULTIVATION THEORY -  GERBNER.pptx
AUDIENCE THEORY -CULTIVATION THEORY - GERBNER.pptx
 
Influencing policy (training slides from Fast Track Impact)
Influencing policy (training slides from Fast Track Impact)Influencing policy (training slides from Fast Track Impact)
Influencing policy (training slides from Fast Track Impact)
 

Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)

  • 1. Basics of Acute and Chronic Pain Medicine for the Otolaryngologist Yury Khelemsky, MD Assistant Professor Anesthesiology and Interventional Pain Medicine The Mount Sinai Medical Center
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Multimodal Analgesia Multimodal analgesia: combination of pain medications that act on different receptors at various points in pain transmission.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Perioperative Analgesics Opioids Opioid IV equianalgesic dose to morphine 10mg IV (mg) Fentanyl 0.1-0.2 Methadone 5-10 Morphine Hydromorphone 2 Sufentanyl 0.01 Remifentanyl 0.05-0.1
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.