OncLive® On Air S13 Ep10: Updates and Innovations in Non-Opioid Pain Management Strategies for Breast Cancer Patients Post-Surgical Intervention
Jun 4, 2025
In this discussion, guests Joshua Feinberg, a surgical partner from Maimonides, and Gary Schwartz from Maimonides Medical Center’s Anesthesiology department delve into the future of pain management for breast cancer patients. They tackle the innovative No Pain Act and explore cutting-edge techniques like cryoneurolysis aimed at minimizing opioid reliance. The conversation highlights advances in multimodal analgesia and the urgent need to address the opioid crisis within postoperative care, ultimately striving for better patient outcomes and safety.
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Origins of U.S. Opioid Crisis
- The opioid crisis in the U.S. was driven by irresponsible prescribing and predatory practices.
- These actions led to over 700,000 deaths and a decline in the nation's life expectancy.
Identify High-Risk Patients Early
- Identify patients at high risk for postoperative pain using multifactorial assessments.
- Consider factors like previous opioid use, surgery type, obesity, and counseling needs before surgery.
Preoperative Patient Education
- Educate patients preoperatively to set realistic expectations about pain.
- Reassure them soreness is normal to reduce anxiety and unnecessary medication requests.