Hospitalized Chronic Pain Patient

David A Edwards, MD PhD Associate Professor Chief, Division of Pain Medicine Departments of Anesthesiology and Neurological Surgery Vanderbilt University Medical Center Nashville, TN Padma Gulur MD Professor of Anesthesiology Executive Vice Chair Department of Anesthesiology Duke University Durham NC Christopher M. Sobey Department of Anesthesiology Vanderbilt University Medical Center Nashville, TN [External - Use Caution]

Preface.- Introduction to the Chronic Pain Patient.- Definitions.- Acute Pain.- Chronic Pain.- Opioid-induced Hyperalgesia.- History.- Physical Examination.- The SCRIPT History Template.- Patient Reported Outcomes.- Clinical and Experimental Tools for Measuring Pain.- Case 1: High Dose Opioids & Multiple Pain Medications.- Case 2: Buprenorphine.- Case 3: Methadone.- Case 4: Abdominal Pain.- Case 5: Unknown Pain Source.- Case 6:  Sickle Cell Disease.- Case 7: A Cancer Pain Crisis.- Case 8: Spasticity & Pain.- Case 9: Renal & Hepatic Disease.- Case 11: Angry Patient.-  Case 12: Intrathecal Pain Pump.- Case 13: Spinal Cord Stimulation.- Case 14: Opioid Use Disorder.- Case 15: Comorbid Psychological Condition.- Case 16: Poor Prognosis in a Palliative Care Patient.- Case 17: Management of a Pain/Dyspnea in an Actively Dying Patient.- Opioids.- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs).- Acetaminophen.- Local Anesthetics.- NMDA Antagonists.- Alpha-2 Agonists.- Gabapentin & Pregabalin.- Tricyclic Antidepressants & Serotonin-Norepinephrine Reuptake Inhibitors.- Steroids.- Cannabinoids.- Peripheral Regional Anesthesia Blocks.- Neuraxial Blocks.- Vertebroplasty & Kyphoplasty.- Surgical Interventions for Pain.- Opioid and Non-Opioid Therapies in Palliative Care.- Crisis Management and Refractory Pain.- Transition to Outpatient Care & Readmissions.- Opioid Tapering for Acute on Chronic Non-Cancer Pain.