SlideShare une entreprise Scribd logo

Opioid-Free Anesthesia: Evidence and Implications

•Télécharger en tant que PPTX, PDF•
•
Edward R. Mariano, MD
Edward R. Mariano, MD

By the end of this presentation, learners will be able to: 1. Discuss the current state of the opioid epidemic; 2. Review the role of opioids in anesthesia and perioperative care; and 3. Assess the value of opioid-free strategies.

Santé & Médecine
1  sur  34
@EMARIANOMD #WAS2020 “Opioid-Free Anesthesia” Is Not a Thing Edward R. Mariano, M.D., M.A.S. Professor of Anesthesiology, Perioperative & Pain Medicine Stanford University School of Medicine Chief, Anesthesiology and Perioperative Care Veterans Affairs Palo Alto Health Care System
@EMARIANOMD #WAS2020 Disclosures  None
@EMARIANOMD #WAS2020 Overview  How did we get here?  Where is the evidence?  What should we do for our patients?
@EMARIANOMD #WAS2020 Overview  How did we get here?  Where is the evidence?  What should we do for our patients?
@EMARIANOMD #WAS2020 The Opioid Epidemic https://www.nytimes.com/interactive/2016/01/07/us/drug-overdose-deaths-in-the-us.html?_r=0 https://www.cdc.gov/drugoverdose/epidemic/index.html
@EMARIANOMD #WAS2020 The Opioid Epidemic https://www.nytimes.com/interactive/2016/01/07/us/drug-overdose-deaths-in-the-us.html?_r=0 https://www.cdc.gov/drugoverdose/epidemic/index.html
@EMARIANOMD #WAS2020 Brummett, et al. JAMA 2017 Klueh, et al. JGIM 2018
@EMARIANOMD #WAS2020
@EMARIANOMD #WAS2020 https://www.ncsl.org/research/health/prescribing-policies-states-confront-opioid-overdose-epidemic.aspx
@EMARIANOMD #WAS2020 Mudumbai & Mariano, et al. Pain Med 2016 The Opioid Epidemic
@EMARIANOMD #WAS2020 The Opioid Epidemic https://www.cdc.gov/drugoverdose/epidemic/index.html
@EMARIANOMD #WAS2020 The Opioid Epidemic Mudumbai & Mariano, et al. Pain Med 2016
@EMARIANOMD #WAS2020 Unintended Consequences
@EMARIANOMD #WAS2020 Overview  How did we get here?  Where is the evidence?  What should we do for our patients?
@EMARIANOMD #WAS2020
@EMARIANOMD #WAS2020
@EMARIANOMD #WAS2020
@EMARIANOMD #WAS2020 SPFA Society for Paralysis-Free Anesthesia BLOCK THE ROC LET PATIENTS MOVE FREELY DURING SURGERY ☻ 2020 Society for Paralysis-Free Anesthesia. This is totally fake.
@EMARIANOMD #WAS2020 Elkassabany & Mariano. Anaesthesia 2019
@EMARIANOMD #WAS2020 Elkassabany & Mariano. Anaesthesia 2019
@EMARIANOMD #WAS2020 Opioid-Free Anesthesia: PRO? Lavand’homme. EJA 2019
@EMARIANOMD #WAS2020 Opioid-Free Anesthesia: CON Lirk & Rathmell. EJA 2019
@EMARIANOMD #WAS2020 Fiore, et al. BJA 2019
@EMARIANOMD #WAS2020 Fiore, et al. BJA 2019
@EMARIANOMD #WAS2020 Kharasch, et al. Anesthesiology Feb 2020
@EMARIANOMD #WAS2020 Kharasch, et al. Anesthesiology Feb 2020
@EMARIANOMD #WAS2020 Overview  How did we get here?  Where is the evidence?  What should we do for our patients?
@EMARIANOMD #WAS2020 Schwenk & Mariano. KJA 2018
@EMARIANOMD #WAS2020 Elkassabany & Mariano. Anaesthesia 2019 Opioid- Free Potential
@EMARIANOMD #WAS2020 Mariano, Schatman. J Pain Res 2019
@EMARIANOMD #WAS2020 Think Beyond the PACU Mariano, Walters, Kim, Kain. A&A 2015 Walters, Mariano, Clark. Pain Med 2015
@EMARIANOMD #WAS2020 Tamboli, et al. Pain Med 2019
@EMARIANOMD #WAS2020 Transitional Pain Katz, et al. J Pain Res 2015 Huang, et al. Pain Manag 2016
@EMARIANOMD #WAS2020 Summary  We discussed “opioid-free anesthesia” and answered the following questions: – How did we get here? – Where is the evidence? – What should we do for our patients?

Recommandé

Opioid Free Anesthesia (OFA) by tushar chokshi
Opioid Free Anesthesia (OFA) by tushar chokshiOpioid Free Anesthesia (OFA) by tushar chokshi
Opioid Free Anesthesia (OFA) by tushar chokshidr tushar chokshi
 
opioid free anaesthesia by dr tushar chokshi
opioid free anaesthesia by dr tushar chokshiopioid free anaesthesia by dr tushar chokshi
opioid free anaesthesia by dr tushar chokshidr tushar chokshi
 
Lessons Learned from the U.S. Opioid Epidemic
Lessons Learned from the U.S. Opioid EpidemicLessons Learned from the U.S. Opioid Epidemic
Lessons Learned from the U.S. Opioid EpidemicEdward R. Mariano, MD
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIANON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIAUnnikrishnan Prathapadas
 
Total Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesTotal Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesdr tushar chokshi
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockSaeid Safari
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
the role of anesthesiologist in pain management
the role of anesthesiologist in pain managementthe role of anesthesiologist in pain management
the role of anesthesiologist in pain managementDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 

Recommandé

Opioid Free Anesthesia (OFA) by tushar chokshi
Opioid Free Anesthesia (OFA) by tushar chokshiOpioid Free Anesthesia (OFA) by tushar chokshi
Opioid Free Anesthesia (OFA) by tushar chokshidr tushar chokshi
 
opioid free anaesthesia by dr tushar chokshi
opioid free anaesthesia by dr tushar chokshiopioid free anaesthesia by dr tushar chokshi
opioid free anaesthesia by dr tushar chokshidr tushar chokshi
 
Lessons Learned from the U.S. Opioid Epidemic
Lessons Learned from the U.S. Opioid EpidemicLessons Learned from the U.S. Opioid Epidemic
Lessons Learned from the U.S. Opioid EpidemicEdward R. Mariano, MD
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIANON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIAUnnikrishnan Prathapadas
 
Total Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesTotal Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesdr tushar chokshi
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockSaeid Safari
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
the role of anesthesiologist in pain management
the role of anesthesiologist in pain managementthe role of anesthesiologist in pain management
the role of anesthesiologist in pain managementDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 
Simple TCI
Simple TCISimple TCI
Simple TCIPolanest
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementdrsp46
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic managementKanika Chaudhary
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating roomSumit Prajapati
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesiadr anurag giri
 
Intraoperative awareness
Intraoperative awarenessIntraoperative awareness
Intraoperative awarenessHimanshu Jangid
 
Anaesthesia Outside O.R.
Anaesthesia Outside O.R.Anaesthesia Outside O.R.
Anaesthesia Outside O.R.Shailendra Veerarajapura
 
Anesthesia for bariatric surgery
Anesthesia for bariatric surgeryAnesthesia for bariatric surgery
Anesthesia for bariatric surgeryDhritiman Chakrabarti
 
epidural anesthesia
epidural anesthesiaepidural anesthesia
epidural anesthesiaShibinath VM
 
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal SurgeryThoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal SurgeryEdward R. Mariano, MD
 
Usg and anaesthesia
Usg and anaesthesiaUsg and anaesthesia
Usg and anaesthesiaDR . RAJESH CHOUDHURI
 
Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)Komal Haleem
 
Failed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmcFailed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmcHarith Daggupati
 
Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Simon Richard
 
anaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyanaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyabhijit wagh
 
Usg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gsUsg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gsGowri Shankar
 
Inhalational Agents
Inhalational AgentsInhalational Agents
Inhalational Agentsmeducationdotnet
 
Neuromuscular Monitoring
Neuromuscular MonitoringNeuromuscular Monitoring
Neuromuscular MonitoringMohtasib Madaoo
 
Anaesthesia outside operating room
Anaesthesia outside operating roomAnaesthesia outside operating room
Anaesthesia outside operating roomnarasimha reddy
 
AWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplifiedAWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplifiedNational hospital, kandy
 
Multimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgeryMultimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgeryEdward R. Mariano, MD
 
Short Stay Knee Arthroplasty
Short Stay Knee ArthroplastyShort Stay Knee Arthroplasty
Short Stay Knee ArthroplastyEdward R. Mariano, MD
 

Contenu connexe

Tendances

Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementdrsp46
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic managementKanika Chaudhary
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating roomSumit Prajapati
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesiadr anurag giri
 
Intraoperative awareness
Intraoperative awarenessIntraoperative awareness
Intraoperative awarenessHimanshu Jangid
 
epidural anesthesia
epidural anesthesiaepidural anesthesia
epidural anesthesiaShibinath VM
 
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal SurgeryThoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal SurgeryEdward R. Mariano, MD
 
Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)Komal Haleem
 
Failed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmcFailed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmcHarith Daggupati
 
Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Simon Richard
 
anaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyanaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyabhijit wagh
 
Usg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gsUsg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gsGowri Shankar
 
Neuromuscular Monitoring
Neuromuscular MonitoringNeuromuscular Monitoring
Neuromuscular MonitoringMohtasib Madaoo
 
Anaesthesia outside operating room
Anaesthesia outside operating roomAnaesthesia outside operating room
Anaesthesia outside operating roomnarasimha reddy
 
AWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplifiedAWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplifiedNational hospital, kandy
 

Tendances (20)

Simple TCI
Simple TCISimple TCI
Simple TCI
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain management
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating room
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesia
 
Intraoperative awareness
Intraoperative awarenessIntraoperative awareness
Intraoperative awareness
 
Anaesthesia Outside O.R.
Anaesthesia Outside O.R.Anaesthesia Outside O.R.
Anaesthesia Outside O.R.
 
Anesthesia for bariatric surgery
Anesthesia for bariatric surgeryAnesthesia for bariatric surgery
Anesthesia for bariatric surgery
 
epidural anesthesia
epidural anesthesiaepidural anesthesia
epidural anesthesia
 
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal SurgeryThoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
Thoracic Epidural Analgesia is the Gold Standard for Major Abdominal Surgery
 
Usg and anaesthesia
Usg and anaesthesiaUsg and anaesthesia
Usg and anaesthesia
 
Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)Bier block (intravenous regional anesthesia)
Bier block (intravenous regional anesthesia)
 
Failed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmcFailed spinal-anesthesia-mgmc
Failed spinal-anesthesia-mgmc
 
Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)
 
anaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyanaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomy
 
Usg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gsUsg applications in anaesthesia dr gs
Usg applications in anaesthesia dr gs
 
Inhalational Agents
Inhalational AgentsInhalational Agents
Inhalational Agents
 
Neuromuscular Monitoring
Neuromuscular MonitoringNeuromuscular Monitoring
Neuromuscular Monitoring
 
Anaesthesia outside operating room
Anaesthesia outside operating roomAnaesthesia outside operating room
Anaesthesia outside operating room
 
AWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplifiedAWAKE FIBEROPTIC INTUBATION & TIVA- simplified
AWAKE FIBEROPTIC INTUBATION & TIVA- simplified
 

Plus de Edward R. Mariano, MD

Multimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgeryMultimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgeryEdward R. Mariano, MD
 
The Evolution of Training in Regional Anaesthesia
The Evolution of Training in Regional AnaesthesiaThe Evolution of Training in Regional Anaesthesia
The Evolution of Training in Regional AnaesthesiaEdward R. Mariano, MD
 
The Quest for Longer Block Duration: Techniques and Evidence
The Quest for Longer Block Duration: Techniques and EvidenceThe Quest for Longer Block Duration: Techniques and Evidence
The Quest for Longer Block Duration: Techniques and EvidenceEdward R. Mariano, MD
 
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...Edward R. Mariano, MD
 
Dealing with the Information Firehose: Tips for Busy Researchers
Dealing with the Information Firehose: Tips for Busy ResearchersDealing with the Information Firehose: Tips for Busy Researchers
Dealing with the Information Firehose: Tips for Busy ResearchersEdward R. Mariano, MD
 
Designing the "Best" Pain Management Plan for Knee Replacement
Designing the "Best" Pain Management Plan for Knee ReplacementDesigning the "Best" Pain Management Plan for Knee Replacement
Designing the "Best" Pain Management Plan for Knee ReplacementEdward R. Mariano, MD
 
Why Physicians Should Speak Up and Lead
Why Physicians Should Speak Up and LeadWhy Physicians Should Speak Up and Lead
Why Physicians Should Speak Up and LeadEdward R. Mariano, MD
 
Interfascial Plane Blocks: Should We Believe the Hype?
Interfascial Plane Blocks: Should We Believe the Hype?Interfascial Plane Blocks: Should We Believe the Hype?
Interfascial Plane Blocks: Should We Believe the Hype?Edward R. Mariano, MD
 
Modernize Your CV with a Digital Portfolio
Modernize Your CV with a Digital PortfolioModernize Your CV with a Digital Portfolio
Modernize Your CV with a Digital PortfolioEdward R. Mariano, MD
 
The Role of Social Media in Modern Medicine
The Role of Social Media in Modern MedicineThe Role of Social Media in Modern Medicine
The Role of Social Media in Modern MedicineEdward R. Mariano, MD
 
How Regional Anesthesia Can Improve Outcomes that Matter
How Regional Anesthesia Can Improve Outcomes that MatterHow Regional Anesthesia Can Improve Outcomes that Matter
How Regional Anesthesia Can Improve Outcomes that MatterEdward R. Mariano, MD
 
The Biggest Threats to Anesthesiology Are...
The Biggest Threats to Anesthesiology Are...The Biggest Threats to Anesthesiology Are...
The Biggest Threats to Anesthesiology Are...Edward R. Mariano, MD
 
Regional Anesthesia Education and Social Media
Regional Anesthesia Education and Social MediaRegional Anesthesia Education and Social Media
Regional Anesthesia Education and Social MediaEdward R. Mariano, MD
 
How Does Regional Anesthesia Stay Relevant in the Future?
How Does Regional Anesthesia Stay Relevant in the Future?How Does Regional Anesthesia Stay Relevant in the Future?
How Does Regional Anesthesia Stay Relevant in the Future?Edward R. Mariano, MD
 
The Joint Replacement Bundle: Implications for Patients and Acute Pain Services
The Joint Replacement Bundle: Implications for Patients and Acute Pain ServicesThe Joint Replacement Bundle: Implications for Patients and Acute Pain Services
The Joint Replacement Bundle: Implications for Patients and Acute Pain ServicesEdward R. Mariano, MD
 
Pain Medicine and the Pathway to Better Surgical Care
Pain Medicine and the Pathway to Better Surgical CarePain Medicine and the Pathway to Better Surgical Care
Pain Medicine and the Pathway to Better Surgical CareEdward R. Mariano, MD
 
Considerations for Regional Anesthesia in the Trauma Patient
Considerations for Regional Anesthesia in the Trauma PatientConsiderations for Regional Anesthesia in the Trauma Patient
Considerations for Regional Anesthesia in the Trauma PatientEdward R. Mariano, MD
 
Regional Anesthesia in the Prevention of Persistent Postsurgical Pain
Regional Anesthesia in the Prevention of Persistent Postsurgical PainRegional Anesthesia in the Prevention of Persistent Postsurgical Pain
Regional Anesthesia in the Prevention of Persistent Postsurgical PainEdward R. Mariano, MD
 

Plus de Edward R. Mariano, MD (20)

Multimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgeryMultimodal analgesia and opioids after hip surgery
Multimodal analgesia and opioids after hip surgery
 
Short Stay Knee Arthroplasty
Short Stay Knee ArthroplastyShort Stay Knee Arthroplasty
Short Stay Knee Arthroplasty
 
The Evolution of Training in Regional Anaesthesia
The Evolution of Training in Regional AnaesthesiaThe Evolution of Training in Regional Anaesthesia
The Evolution of Training in Regional Anaesthesia
 
The Quest for Longer Block Duration: Techniques and Evidence
The Quest for Longer Block Duration: Techniques and EvidenceThe Quest for Longer Block Duration: Techniques and Evidence
The Quest for Longer Block Duration: Techniques and Evidence
 
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...
Interfascial Plane Blocks Offer an Acceptable Alternative to Thoracic Epidura...
 
Dealing with the Information Firehose: Tips for Busy Researchers
Dealing with the Information Firehose: Tips for Busy ResearchersDealing with the Information Firehose: Tips for Busy Researchers
Dealing with the Information Firehose: Tips for Busy Researchers
 
Designing the "Best" Pain Management Plan for Knee Replacement
Designing the "Best" Pain Management Plan for Knee ReplacementDesigning the "Best" Pain Management Plan for Knee Replacement
Designing the "Best" Pain Management Plan for Knee Replacement
 
Why Physicians Should Speak Up and Lead
Why Physicians Should Speak Up and LeadWhy Physicians Should Speak Up and Lead
Why Physicians Should Speak Up and Lead
 
Interfascial Plane Blocks: Should We Believe the Hype?
Interfascial Plane Blocks: Should We Believe the Hype?Interfascial Plane Blocks: Should We Believe the Hype?
Interfascial Plane Blocks: Should We Believe the Hype?
 
Modernize Your CV with a Digital Portfolio
Modernize Your CV with a Digital PortfolioModernize Your CV with a Digital Portfolio
Modernize Your CV with a Digital Portfolio
 
The Role of Social Media in Modern Medicine
The Role of Social Media in Modern MedicineThe Role of Social Media in Modern Medicine
The Role of Social Media in Modern Medicine
 
How Regional Anesthesia Can Improve Outcomes that Matter
How Regional Anesthesia Can Improve Outcomes that MatterHow Regional Anesthesia Can Improve Outcomes that Matter
How Regional Anesthesia Can Improve Outcomes that Matter
 
Coaching and Developing Employees
Coaching and Developing EmployeesCoaching and Developing Employees
Coaching and Developing Employees
 
The Biggest Threats to Anesthesiology Are...
The Biggest Threats to Anesthesiology Are...The Biggest Threats to Anesthesiology Are...
The Biggest Threats to Anesthesiology Are...
 
Regional Anesthesia Education and Social Media
Regional Anesthesia Education and Social MediaRegional Anesthesia Education and Social Media
Regional Anesthesia Education and Social Media
 
How Does Regional Anesthesia Stay Relevant in the Future?
How Does Regional Anesthesia Stay Relevant in the Future?How Does Regional Anesthesia Stay Relevant in the Future?
How Does Regional Anesthesia Stay Relevant in the Future?
 
The Joint Replacement Bundle: Implications for Patients and Acute Pain Services
The Joint Replacement Bundle: Implications for Patients and Acute Pain ServicesThe Joint Replacement Bundle: Implications for Patients and Acute Pain Services
The Joint Replacement Bundle: Implications for Patients and Acute Pain Services
 
Pain Medicine and the Pathway to Better Surgical Care
Pain Medicine and the Pathway to Better Surgical CarePain Medicine and the Pathway to Better Surgical Care
Pain Medicine and the Pathway to Better Surgical Care
 
Considerations for Regional Anesthesia in the Trauma Patient
Considerations for Regional Anesthesia in the Trauma PatientConsiderations for Regional Anesthesia in the Trauma Patient
Considerations for Regional Anesthesia in the Trauma Patient
 
Regional Anesthesia in the Prevention of Persistent Postsurgical Pain
Regional Anesthesia in the Prevention of Persistent Postsurgical PainRegional Anesthesia in the Prevention of Persistent Postsurgical Pain
Regional Anesthesia in the Prevention of Persistent Postsurgical Pain
 

Dernier

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 

Dernier (20)

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 

Opioid-Free Anesthesia: Evidence and Implications