Outpatient Surgery Magazine

Special Edition: Opioids - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1198986

Contents of this Issue

Navigation

Page 44 of 58

inflammatories like lidocaine and dexamethasone, all of which have been shown to reduce the amount of opioids used to manage postopera- tive pain," adds Dr. Dickerson. Surgeons sometimes hesi- tate to have regional blocks placed on their patients, says Dr. Luke. "But that attitude is changing," he adds, "because of the data we've accumulated over many years and the num- ber of surgeries we've performed with regional that have slashed rates of opioid dependence that can develop even after 4 or 5 days of use." Multimodal pain medications — acetaminophen, NSAIDs, alpha-2 antagonists, gabapentinoids and ketamine are commonly used — keep pain at bay when nerve blocks wear off. "Medications that were not being used in the past are now being used routinely," says Dr. Luke. 4. Limit post-op prescriptions The final stage of the care continuum is crucial. You want to send patients home with a bare minimum of opioids and stress that the medications should be used only as a last resort to treat break- through pain. "We're very cognizant of the risks associated with opioids and aware of the importance of limiting post-op supplies," says Dr. Kim. "That's why we give patients a script for 3 days' worth to help them manage the initial wave of post-op pain and see them again before prescribing J A N U A R Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 4 5 • SWEET RELIEF With the right multimodal regimen, even the most severe post-op pain can be managed with very few opioids. Pamela Bevelhymer, RN, BSN, CNOR

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Special Edition: Opioids - January 2020 - Subscribe to Outpatient Surgery Magazine