Facilitator and speakers
Associate Professor Ivan L. Rapchuk MD, BSc, FRCPC, FANZCA (Facilitator)
Director of Acute Pain Management Service and Director of Pre-Anaesthetic Clinic at The Prince Charles Hospital, Brisbane; Anaesthetist at Northside Anaesthesia, Brisbane, Qld; Deputy Chair of the Queensland Clinical Network Executive; and Chair of the Opioid Stewardship Working Party.
Dr Monica Steel BaApSci (MedSc), MB BS, MSpMed, FRACGP
GP at Hawthorne Clinic, Balmoral, and the Orthopaedic Fracture Clinic at Mater Adult Hospital, Brisbane, Qld.
Dr Peter Waterhouse MB BS, FANZCA
Anaesthetist at the Queensland Children’s Hospital and in private practice, Brisbane, Qld; and Chair of the Professional Issues Advisory Committee of the Australian Society of Anaesthetists.
Dr Usha Guranathan MB BS, MD, MEpi, FANZCA
Anaesthetist at The Prince Charles Hospital, Brisbane; PhD candidate at the University of Queensland, Brisbane, Qld; and Welfare Officer for the Queensland Regional Committee, Australian and New Zealand College of Anaesthetists.
Dr Dinah Blunt MB ChB, FANZCA, DipClinHypnosis
Anaesthetist and Clinical Hypnotherapist at St Vincent’s Northside Hospital, Brisbane, Qld.
Associate Professor Jennifer Stevens MBChB, FANZCA, FFPMANZCA
Anaesthetist and Pain Medicine Specialist at St Vincent’s Public and Private Hospitals, Sydney; Conjoint Associate Professor at UNSW, Sydney, NSW; and a member of the Australian Commission Working Party on the Australian Commission on Safety and Quality in Health Care Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard.
Dr Tim Tran BPharm, GradCertPharmPrac, MClinPharm, PhD
Senior Clinical Training and Education Pharmacist at Austin Health, Melbourne, Vic.
Ms Ella Raguz BPharm(Hons), MCancerSci
National Clinical Educator for Ramsay Pharmacy; PhD candidate at Monash University, Melbourne, Vic.
Ms Geraldine Griffiths BN, CN, APMS
Clinical Nurse and Coordinator at Wide Bay Hospital and Health Service’s Acute Pain Management Service, Bundaberg, Qld.
This report was written by
Dr Emily Lathlean MB BS, FRACGP Medical Writer/Assistant Editor, MedicineToday
The Opioid Best Practice – New Standard: New Paradigm educational event was held in Brisbane in March 2022. Hosted by the Opioid Stewardship Working Party (OSWP), the seminar focused on opioid-reduction strategies, safe opioid prescribing, communication between hospitals and GPs, and adapting to the new Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard, which was subsequently published in April 2022. The seminar comprised eight components: the patient journey to surgery, prehabilitation, psychological preparedness for surgery, atypical opioids, hospital to GP communication, a discharge template developed by the OSWP, an introduction to the concepts of the new Clinical Care Standard and two Q&A sessions.
The eight weeks before surgery is an important window where GPs can help prepare their patients for surgery and improve postoperative pain management by weaning existing opioid medications and optimising patients’ health generally, according to the first presentation, facilitated by Professor Ivan Rapchuk. However, this can be challenging in general practice and is limited by miscommunication, misconceptions and a lack of time in GP consultations.