Description: Opioids have been shown to be effective in treating pain and dyspnea in palliative care patient. Managing these symptoms can be done in a simple and effective way in the emergency department where many palliative care patients present in distress.
- Learn the basic pharmacology of important opioids
- Learn dose equivalents of different opioids
- Learn an approach to a rapid ‘time-limited’ therapeutic trial
- Use a consistent method in selection, dose, and conversion when administering and converting opioids
- Opioids (selected and dosed appropriately) are an effective therapy in the treatment of dyspnea refractory to medical management and can be used safely without inducing respiratory compromise
- Opioids (selected, dosed appropriately) are indicated for management of moderate to severe pain, even in patients that are elderly or with renal insufficiency
Biography: Dr. La Rivière is an Assistant Professor at the University of Manitoba. He received his MD from the University of Manitoba and trained through the Royal College streams in both Emergency Medicine and Palliative Medicine. He currently works at the Health Sciences Centre Emergency Department and with the Winnipeg Regional Health Authority’s Palliative Care Program. He is the Program Director for the University of Manitoba’s Palliative Care Residency Program and has a special interest in palliative and end-of-life care in the emergency department and acute settings.