Challenges of Post Operative Pain Control in a Patient With Daily Opioid Use
This is a 27 male with a PMH significant for daily substance use who presented to the ED after crashing his motorcycle. This trauma resulted in the fracture of nearly 20 bones and admission to the Surgical Intensive Care Unit. The patient admitted he was high on fentanyl at the time of the crash, and that he had been using up to 1mg of fentanyl daily for six months prior. He required multimodal pain therapy as well as a ketamine infusion. This presentation will focus on post-operative pain management challenges in patients with a history of opioid use disorder.
Giaimo E, Shakibai N. Challenges of post operative pain control in a patient with daily opioid use. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.