Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1

In this episode of the ACCRAC podcast, Jed Wolpaw hosts Dr. Mark Bicket and Dr. Michael Grant to discuss non-opioid adjuncts for pain control in the perioperative period. The conversation begins by addressing the importance of reducing opioid use due to the opioid crisis and associated side effects. The doctors discuss the benefits of pre-operative administration of non-opioid analgesics like gabapentin, NSAIDs, acetaminophen and duloxetine to potentially reduce the need for opioids during and after surgery, touching on the concept of "wind-up" and central sensitization. They delve into the specifics of each medication, including appropriate dosages, contraindications, and evidence supporting their use, as well as the importance of scheduled administration and patient education.