Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine
Core EM - Emergency Medicine Podcast Episode 9.1 – The Evolution of Pain Management with Sergey Motov
Aug 21, 2015
Emergency physician Sergey Motov, an expert in pain management, delves into the evolution of pain relief from ancient remedies to modern techniques like ketamine. He discusses the shift away from opioids and introduces innovative strategies, including ultrasound-guided regional blocks and sodium channel blockers. Motov emphasizes the importance of understanding neurobiology for better pain management, advocating for effective, non-opioid alternatives that can enhance patient care in emergency settings.
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Titrate Opioids Carefully
- Always titrate opioid analgesia in the emergency department.
- Reassess patients regularly and adjust dosing to improve pain relief or avoid intolerable side effects.
Master Ultrasound Nerve Blocks
- Learn and master ultrasound-guided regional nerve blocks for pain management.
- This method reduces opioid use and offers effective, efficient analgesia with fewer side effects.
Avoid Routine IV Acetaminophen
- Avoid routine use of intravenous acetaminophen due to its high cost and limited opioid-sparing effects.
- Reserve it for multimodal analgesia and use cautiously because of potential dosing errors and side effects.