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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]

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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
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  • 7. Multimodal Analgesia Multimodal analgesia: combination of pain medications that act on different receptors at various points in pain transmission.
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  • 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
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