The Science and Practice of Treating Patients with Opioid Use Disorder AK SUMMIT-4 utilizing_buprenorphine_in_the_hospital_setting_-_sarah_spencer,_do,

Video Transcription

Video Summary

The video focuses on addressing opioid use disorder in hospital settings, emphasizing the identification and treatment of opioid withdrawal, appropriate opioid agonists, acute pain management in opioid-dependent individuals, and planning for transitions of care, especially for patients on buprenorphine. Starting medication for opioid use disorder in hospitals significantly reduces readmission rates and mortality risk. Protocols for initiating buprenorphine treatment, including low-dose overlapping starts, are discussed, along with the role of emergency departments and EMTs in administering buprenorphine. Addressing precipitated withdrawal, using extended-release buprenorphine formulations, and the importance of prompt treatment to improve outcomes are highlighted. Dr. Spencer covered topics on buprenorphine, methadone use, patient challenges accessing medications, patient-directed care, warm handoffs between inpatient and outpatient settings, increased take-home doses of methadone, potential legislation for outpatient methadone prescribing, pain management collaboration among specialists, checking PDMPs for patient histories, and managing pain in patients with opioid use disorder.

Keywords

opioid use disorder

hospital settings

opioid withdrawal

opioid agonists

acute pain management

buprenorphine

transitions of care

medication-assisted treatment

readmission rates

mortality risk

emergency departments

EMTs

precipitated withdrawal