ANESTHESIOLOGY® 2026 in San Diego, TopMedTalk hosts Kate Leslie and Andy Cumpstey speak with Bonnie Milas, clinical professor of anesthesiology and critical care medicine at the University of Pennsylvania and American Society of Anesthesiologists (ASA) President Patrick Giam.
The discussion covers addiction, overdose prevention, and pain management. Milas, who lost two adult sons to accidental fentanyl poisonings, advocates putting naloxone and basic response training in the hands of families and communities. She explains overdose signs (unresponsiveness, pinpoint pupils, slow/shallow breathing, cyanosis), calling 911, rescue breathing/CPR, and that naloxone is an easy, safe nasal spray now available over the counter.
Giam discusses anesthesiology's role in opioid-sparing multimodal analgesia, individualized prescribing, education at discharge, and advocacy for reimbursement and fewer prior authorization barriers. Milas highlights ASA's REVIVEme initiative to reduce opioid and drug related mortality, an educational campaign to reduce risks from adulterated drug supplies, and the need to remove stigma, educate youth, and make naloxone as available as AEDs.
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