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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > April, 2008 Vol. IX, No. 4

Ways to Reduce Opioid Use

A multimodal pain regimen reduces nausea, vomiting and sedation - and keeps patients smiling in PACU.

Lois Pizzi, BSN, RN-BC

Post-operative pain and associated side effects are common reasons for delayed discharge and complicated recovery from surgical procedures. Historically, we've treated post-operative pain by adhering to a pain management model that relies on one class of analgesics: opioids. While such "monomodal" treatment can be effective, it can cause such associated side effects as nausea, vomiting and sedation, and can lead to respiratory depression.1 These side effects can also limit functional activities necessary for recovery and rehabilitation. Here are five ways you can reduce opioid use.

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Categories: Anesthesia
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1. Use multimodal analgesia; 2. Mix and match different analgesics; 3. Consider pre-emptive and post-op regimens; 4. Put local anesthetic infusions to work; 5. Educate your patients; All smiles in PACU; Acute Pain Management, Anesthesiology; Acute Pain Management, Practice; Adjuvant; Allowing; American Society; Anaesthesiology; Analgesia; Analgesics; Anesthesia; Anesthesia Analgesia; Anesthesia Pain Medicine; Anesthesiologists Task Force; Anesthesiology; B.M. Ilfeld, T.E. Morey, T.W. Wright; Better Effective; Bind; Block; C. Lysakowski; C. Pasero, R.K. Portenoy; CNS; City Hospital; Classes NSA... show all keywords
1. Use multimodal analgesia; 2. Mix and match different analgesics; 3. Consider pre-emptive and post-op regimens; 4. Put local anesthetic infusions to work; 5. Educate your patients; All smiles in PACU; Acute Pain Management, Anesthesiology; Acute Pain Management, Practice; Adjuvant; Allowing; American Society; Anaesthesiology; Analgesia; Analgesics; Anesthesia; Anesthesia Analgesia; Anesthesia Pain Medicine; Anesthesiologists Task Force; Anesthesiology; B.M. Ilfeld, T.E. Morey, T.W. Wright; Better Effective; Bind; Block; C. Lysakowski; C. Pasero, R.K. Portenoy; CNS; City Hospital; Classes NSAIDs; Clinical Anaesthesiology; Clinical Manual; Combination; Combining; Decrease; Department; Educate; Education; Elia; Elia, C. Lysakowski; FDA-approved; Feel Better Effective; Force; Frey, Multimodal; Giving; Golembiewski, Postoperative; H. Kehlet; Harold Minkowitz, MD Dr. Minkowitz; Hermann Memorial City Hospital; Hospital; IV; Ilfeld; Ilfeld, T.E. Morey, T.W. 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