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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!\n
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\nCredits\n

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• Written and produced by: Justin Berk MD
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• NephMadness Pain Region: Samantha Gelfand MD
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• NephMadness Pun Contest produced by: Hannah R Abrams
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• Cover art by: Kate Grant MBChB, Dip GUMed
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• Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD
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• Edited by: Matthew Watto MD (audio), Emi Okamoto MD (show notes)
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• Guests:\xa0 Samantha Gelfand MD, Matthew Sparks MD, David Juurlink MD
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• Kidney Pun
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• Disclaimer, intro and guest bios
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• Guest one-liners
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• Clinical Case and Pain Management Disclaimer
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• Modalities for pain meds in ckd
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• Opioids for pain and their metabolites
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• Dave Juurlink reframes the question, \u201cwhat is our real goal with pain management?\u201d
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• Matt Sparks reiterates the dangers of morphine and codeine in patients with advanced CKD
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• Communicating meds that are contraindicated or relatively contraindicated in CKD
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• Buprenorphine
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• What about the WHO Pain Ladder for CKD?
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• Should we use more cannabinoids? Ketamine?
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• Dave Juurlink rants on Tramadol
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• NSAIDS and CKD
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• Gabapentinoids (gabapentin and pregabalin) for neuropathic pain and driving?!
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• Estimating eGFR in CKD and AKI. Which equation is best?
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• How would each of our experts treat this patient with CKD and knee pain
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• Outro
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