entered the political arena. By establishing a multimodal periopera-
tive pathway that uses IV NSAIDs to augment combinations of local
or regional anesthesia, acetaminophen, and maybe gabapentin or pre-
gabalin, we can stay ahead of the regulators, dramatically reduce opi-
oid use, and often completely eliminate the need for them. Those are
goals we should all be striving for.
OSM
M A R C H 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 7 1
Dr. Viscusi (eugene.viscusi@jefferson.edu) is a professor of anesthesiology and
the director of acute pain management at Thomas Jefferson University in
Philadelphia, Pa.
