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We tackle the complexities of pain management in patients with chronic kidney disease in this reboot from @NephMadness 2019 that, on a scale of 1-10, will leave you feeling very relieved in addressing pain. Topics: Opioids, gabapentinoids, NSAIDS, pain ladders, why tramadol is tramadont, and more!
Credits
- Written and produced by: Justin Berk MD
- NephMadness Pain Region: Samantha Gelfand MD
- NephMadness Pun Contest produced by: Hannah R Abrams
- Cover art by: Kate Grant MBChB, Dip GUMed
- Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD
- Edited by: Matthew Watto MD (audio), Emi Okamoto MD (show notes)
- Guests: Samantha Gelfand MD, Matthew Sparks MD, David Juurlink MD
Show Segments
- Kidney Pun
- Disclaimer, intro and guest bios
- Guest one-liners
- Clinical Case and Pain Management Disclaimer
- Modalities for pain meds in ckd
- Opioids for pain and their metabolites
- Dave Juurlink reframes the question, “what is our real goal with pain management?”
- Matt Sparks reiterates the dangers of morphine and codeine in patients with advanced CKD
- Communicating meds that are contraindicated or relatively contraindicated in CKD
- Buprenorphine
- What about the WHO Pain Ladder for CKD?
- Should we use more cannabinoids? Ketamine?
- Dave Juurlink rants on Tramadol
- NSAIDS and CKD
- Gabapentinoids (gabapentin and pregabalin) for neuropathic pain and driving?!
- Estimating eGFR in CKD and AKI. Which equation is best?
- How would each of our experts treat this patient with CKD and knee pain
- Outro
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- Indeed indeed.com/internalmedicine for a $75 sponsored job credit
- Squarespace squarespace.com/curb offer code: CURB to save 10%
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