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Assessment and Management of Acute Pain: A Focus on the Role of Opioids and Multimodal Treatment Approaches
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Acute Pain – Epidemiology
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Acute Pain – Scope of the Problem
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Acute Pain – Scope of the Problem (cont’d)
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Acute Pain Impacts Patients’ Lives
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Acute Pain Impacts Patients’ Lives (cont’d)
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Inadequate Acute Pain Management Can Have Consequences
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Reducing Acute Postoperative Pain Lowers Prevalence of Chronic Pain
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Current Problems With the Assessment of Acute Pain
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Current Problems With the Assessment of Acute Pain (cont’d)
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An Alternative Approach?
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An Alternative Approach? (cont’d)
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An Alternative Approach? (cont’d)
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Applicability of Acute Pain Trajectory
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Temporal Pain Intensity Differences Between Acute and Chronic Pain
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Transition From Acute Surgical Pain and the Development of Chronic Pain
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Transition From Acute Surgical Pain to Subacute (Persistent) Pain
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Transition Period Between Acute and Chronic Pain
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Transition Period Between Acute and Chronic Pain (cont’d)
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Transition Period Between Acute and Chronic Pain (cont’d)
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Why Is It Important to Treat Pain in the Subacute Stage?
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Why Is It Important to Treat Pain in the Subacute Stage? (cont’d)
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Why Is It Important to Treat Pain in the Subacute Stage? (cont’d)
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Transition Period Between Acute and Chronic Pain
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Progression of Acute to Chronic Pain
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Progression of Acute to Chronic Pain (cont’d)
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Transition Period Between Acute and Chronic Pain
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Transition Period Between Acute and Chronic Pain (cont’d)
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How Should Subacute Pain Be Treated?
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Treatment of Acute Pain
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Opioids and Opioid Combinations for Acute Pain
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Opioids and Opioid Combinations for Acute Pain (cont’d)
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What Is the Role of Opioids in Acute and Subacute Pain
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What Is the Role of Opioids in Acute and Subacute Pain (cont’d)
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Recommendations for Management
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Neuropathic Pain Diagnosis
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Risk Factors for Opioid-Related Aberrant Behaviors
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Safe Prescribing of Opioids
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How Should Subacute Pain Be Treated?
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Pharmacological Treatment of Neuropathic Pain
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Recommendations
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Recommendations for Management
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Recommendations for Management (cont’d)
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IR Opioids Require Frequent Dosing
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ER Opioids Are Designed to Provide Consistent Drug Levels
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Key Concepts
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