{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Nerve block numbs pain and need for opioids' data-url='/boclips/videos/5c54d446d8eafeecae1f1504' data-video-url='/boclips/videos/5c54d446d8eafeecae1f1504' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nNerve block numbs pain and need for opioids\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eUS OPIODS NERVE BLOCKERS SOURCE: ASSOCIATED PRESSRESTRICTIONS: AP CLIENTS ONLYLENGTH: 5.20SHOTLIST:Associated Press Baltimore, Maryland – January 24, 20171. Stuart Anders, a trauma patient, looking over an X-ray of his broken leg...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eUS OPIODS NERVE BLOCKERS SOURCE: ASSOCIATED PRESSRESTRICTIONS: AP CLIENTS ONLYLENGTH: 5.20SHOTLIST:Associated Press Baltimore, Maryland – January 24, 20171. Stuart Anders, a trauma patient, looking over an X-ray of his broken leg with a doctor2. Mid of stitches in Anders' leg3. Close up of X-ray image4. SOUNDBITE: (English) Stuart Anders, trauma patient\"I don't remember a lot of it. Woke up in Shock Trauma here in the University of Maryland.\" 5. Various of Anders undergoing a follow-up x-ray on his broken femur6. SOUNDBITE: (English) Stuart Anders, Trauma patient\"Yeah, I am a recovering addict. And I really didn't want to take any opiates because of fear of, just in case. Not that I'm not strong enough to stop, I believe, but didn't want to take the chance of dependency again.\"Associated Press No location – No date7. Pan over still image of bottles of opioid painkillers, including Morphine and OxyContinBaltimore, Maryland – January 24, 20178. SOUNDBITE: (English) Stuart Anders, trauma patient\"And it was to a point back in 2011 where I was ready to lose, my wife was going to leave me, was going to lose my job of 23 years. So, I just had to evaluate what was more important.\"9. Various of Anders in an examination room with his doctor10. Close up of Anders' hands11. SOUNDBITE: (English) Stuart Anders, trauma patient\"They did a nerve block on the femur, and it totally made everything completely numb. There was no pain at all.\"Photograph: Copyright University of Maryland - MUST CREDIT ONSCREEN -  AP CLIENTS ONLYBaltimore, Maryland – January 11, 201712. Zoom in to colour photograph of a nurse tending to Anders' nerve block site while he was still in the hospital after his leg surgeryAssociated Press Baltimore, Maryland – February 15, 201713. Mid of anaesthesiologist using an ultrasound want on different unidenitifed patient's collarbone area to locate a nerve14. Mid of nurses looking at ultrasound screen during procedure15. Mid of ultrasound machine screen16. Close of anaesthesiologist in foreground looking at ultrasound screen as he works on patient17. SOUNDBITE: (English) Dr. Ron Samet, anaesthesiologist, University of Maryland School of Medicine:   +++AUDIO AS INCOMING+++\"As long as you can block them and provide them with good pain relief, initially, for the first 24-48 hours after surgery, the pain that comes back after that isn't necessarily as hard and as strong. And it allows them to sort of titrate (adjust) and get more comfortable with the pain medications that is prescribed.  Additionally, it gives them a psychological advantage that helps them recognize that they don't necessarily need to be in pain or are going to suffer significant pain, and that allows them also to adjust.\"18. Samet cleaning area near patient's collarbone where Samet will insert tube for the nerve block19. Mid of Samet cleaning patient's collarbone area20. SOUNDBITE: (English) Dr. Ron Samet, anaesthesiologist, University of Maryland School of Medicine: +++AUDIO AS INCOMING+++\"There is no doubt that opioid use has been down. How significant the reduction has been is hard to say.  Every patient is a little bit different.  Also, patients sometimes have injuries that are unrelated to the nerve block's area, area that the nerve block covers, but there is no doubt that there has been a significant reduction in opioid use in patients who get nerve block, single shots or catheters.\"21. Samet preparing tools and materials to perform a nerve block22. Samet using ultrasound wand to help him find the exact point to insert a needle and tube23. Mid of Samet working24. Samet threading tube into patient25. Needles and tools used to perform nerve block26. Samet wiping blood away from patient's collarbone area27. SOUNDBITE: (English) Dr. Ron Samet, anaesthesiologist, University of Maryland School of Medicine: +++AUDIO AS INCOMING+++\"Probably the key is not necessarily the relapse mode that we're concerned about. I think what our biggest issue with opioid management is that we prescribe too much for too long.\"28. Various of Samet infusing a numbing medication into patient through the nerve block site 29. SOUNDBITE: (English) Dr. Ron Samet, anaesthesiologist, Univ. of Maryland School of Medicine: ++++AUDIO AS INCOMING+++\"The goal would be to dramatically reduce the amount of opioids that you get in the hospital, in the recovery period, and to try and give them other adjunctive agents that will help them manage their pain for the next few weeks or however long it takes to recover and avoid opioids almost entirely.\"  Baltimore, Maryland – January 24, 201730. Anders in exam room talking with nurse 31. Tight of stitches in Anders' leg32.  Various of nurse examining Anders' stitches33. SOUNDBITE: (English) Stuart Anders, trauma patient:\"As far as this procedure, I think this is something everybody should do. I mean, even people that aren't addicts. Because it's so easy anymore to become addicted to that stuff, that this is a godsend, I believe.\"34. Various of Anders using a walker to walk down hospital hallway with nurse LEADIN: Opioids have been the traditional way to treat pain in trauma and surgical patients, but a Baltimore hospital has found a way to numb nerves and reduce the need for the highly addictive narcotic painkillers.STORYLINE:A car crash shattered Stuart Anders' thigh, leaving pieces of bone sticking through his skin. While he doesn't remember much of the accident, he does remember begging emergency room doctors not to give him powerful opioid painkillers.As a former addict Anders panicked at the thought of relapsing as a result of the pain relief he was offered in the trauma unit.\"Not that I'm not strong enough to stop, I believe, but didn't want to take the chance of dependency again,\" says Anders.  \"It was to a point back in 2011 where I was ready to lose, my wife was going to leave me, was going to lose my job of 23 years.\"America's opioid crisis is forcing hospitals to begin rolling out non-addictive alternatives to narcotic painkillers, which have long been the mainstay for the severe pain of trauma and surgery.Doctors don't want to save patient's lives and limbs, simply for them to then to be in the grip of an addiction to medications like morphine and OxyContin.Anders was lucky to land in a Baltimore emergency room capable of offering an option that dramatically cut his need for opioids.\"They did a nerve block on the femur,\" said Anders.  \"It totally made everything completely numb. There was no pain at all.\"The procedure is called an ultrasound-guided nerve block.The procedure was applied to Anders before surgeons implanted a rod in his femur, to fix the break.The nerve block bathed a key nerve in local anaesthetic, keeping his upper leg numb for several days during his hospital stay. Anders was treated by Ron Samet assistant anaesthesiology professor at the University of Maryland School of Medicine.\"As long as you can block them and provide them with good pain relief, initially, for the first 24-48 hours after surgery, the pain that comes back after that isn't necessarily as hard and as strong,\" says Samet.To perform a nerve block, Samet uses a portable ultrasound machine to locate specific nerves in the body.  He searches the black-and-white screen for the dots that mark the key nerves and then threads a tiny tube directly into the nerve that affects an injury or surgical site.  Through the tube he can infuse a non-addictive numbing medication.    According to Samet:\"There is no doubt that there has been a significant reduction in opioid use in patients who get nerve block.\" An estimated 2 million people in the U.S. either are addicted to or misuse prescription painkillers, and an average of 91 Americans die every day from an overdose of opioids, mostly from heroin.This grim spiral often starts in the hospital according to a Harvard study published in the New England Journal of Medicine in February.It claimed one in every 49 patients newly prescribed an opioid in an emergency room would still be using the painkiller six months later. Patients risk of becoming drug dependent increases with the length of time patients are on opiods in hospital.\"I think what our biggest issue with opioid management is that we prescribe too much for too long,\" says Samet.Anders did require a low opioid dose when the nerve block wore off, but the amount was still far less than normal.  Surgeons implanted a rod in his femur to fix the break.He says he only used the opioid at home at night, when sharp pain kept him awake, and he managed to discard the last twenty pills.\"The goal would be to dramatically reduce the amount of opioids that you get in the hospital, in the recovery period, and to try and give them other adjunctive agents that will help them manage their pain for the next few weeks,\" says Samet. He says eventually he'd like to \"avoid opioids almost entirely.\"  Samet believes patients need to ask about these kinds of alternatives and they should become commonly available at all hospitals.Patients like Anders can only agree.He says: \"I think this is something everybody should do, It's so easy anymore to become addicted to that stuff, that this is a godsend, I believe.\"The nerve blocking procedure according to Samet is still relatively new in it's application to trauma patients and more doctors need to be trained.  ====Clients are reminded: (i) to check the terms of their licence agreements for use of content outside news programming and that further advice and assistance can be obtained from the AP Archive on: Tel +44 (0) 20 7482 7482 Email: info@aparchive.com. 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