ferent people. Think of it as preemptive or preventive analgesia. The textbook definition of multimodal analgesia is the administration of analgesia
are patient satisfaction scores directly
before surgical incision to prevent establishment of
affecting how facilities are run, but
central sensitization from incision or inflammatory
satisfaction scores looking specifically
injury in order to achieve optimal post-operative
at pain management are being report-
pain control. From a practical standpoint, it means
ed to Medicare. Decreased narcotic
countering pain's multifactorial nature. In order to
consumption, non-existent nausea,
do so, you need a multimodal regimen that targets
earlier and more frequent family visits,
each of the factors that cause pain with agents that
quicker discharges to home and pain
resolve those factors.
scores less than 5 out of 10 at post-op
Multimodal and preemptive analgesia become even
days 0 to 3 are all positive outcomes
more attractive when you consider that the major
that patients are able to report, thanks
goal in the management of post-op pain is minimizing
to regional anesthesia techniques.
the dose of medications to lessen side effects while
Regional anesthesia programs
still providing adequate analgesia.
give you a reason to rest easy,
Opioids are part of the plan of attack, but by no
knowing that not only are you doing
means the be-all and end-all. A 2010 article in the
what's best for your patients, but that
Journal of Spine shows how a hospital improved
patients are at home resting easy in
pain control and patient satisfaction by implementing
close-to-complete comfort.
— Emily DeBusk, RN
a multimodal pain regimen using scheduled dosing of
acetaminophen, gabapentin and extended-release
Ms. DeBusk
(b lock nursing @g ma il.com) is a
block nurse and PACU nurse at
Baptist Health Care in Gulf
Breeze, Fla., as well as the founder
of BlockNursing
(b lock nursing .com), which provides advanced regional anesthesia education.
oxycodone along with pen dosing of short-acting oral
oxycodone.
Dr. Rose likes to administer non-opioids/multimodal therapy pre-operatively. He calls it his "multimodal pain cocktail." On arrival, patients receive
acetaminophen (Tylenol 650mg), a loading dose of an
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