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All subscribers to ACOG UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.

Volume 41, Issue 9
Publication date: March 1, 2016
Expiration date: March 1, 2019

Postoperative Pain Management
Sawsan As-Sanie, MD, MPH (Moderator)
Assistant Professor of Obstetrics and Gynecology; Director, Minimally Invasive Gynecologic Surgery and Fellowship; Director, Endometriosis and Chronic Pelvic Pain Consultative Clinic, University of Michigan, Ann Arbor, Michigan

Frank F. Tu, MD, MPH
Division Director, Gynecological Pain and Minimally Invasive Surgery, NorthShore University HealthSystem, Evanston; Clinical Associate Professor of Obstetrics and Gynecology, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Ronald A. Wasserman, MD
Assistant Professor and Service Chief, Pain Medicine, Department of Anesthesiology; Director, Back and Pain Center, University of Michigan Health System, Ann Arbor, Michigan

Learning Objectives
After completing this activity, the physician should be better able to:
1. Discuss the adverse effects of undertreated postoperative pain.
2. Describe risk factors for increased pain and opioid consumption in the acute postoperative period.
3. List the indications for and pharmacologic approaches to preventive analgesia to reduce postoperative pain.
4. Discuss the indications for and efficacy of transversus abdominis plane (TAP) blocks in gynecologic surgery.
5. Describe the utility of injecting local anesthetics into surgical incisions to reduce postoperative pain.
6. Identify populations that are at greater risk for adverse effects with opioid therapy.
7. Describe strategies to reduce the risk of adverse events when treating patients with opioid therapy.

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