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NSAIDs and opioids. The results? Less pain, less opioids, less side effects.
The Texas CRNA says that PACU nurses have, in many cases, seen a reduc-
tion in post-op analgesics due to their use. The newer non-opioids' opioid-
P O S T - O P E R A T I V E P A I N
We asked a panel of anesthesia providers for the mis-
conceptions surgeons and OR nurses have about post-
op pain.
• That nausea is a reason to avoid opioids or use
codeine, says Daniel K. O'Neill, MD, associate director
of adult off-site anesthesiology services at NYU
Langone Medical Center in New York, N.Y.
•
That it's possible to have a pain score of zero after an
invasive operation, says Louis G. Stanfield, CRNA, PhD,
DAAPM, Massena (N.Y.) Memorial Hospital.
• That it takes too long to perform a regional anesthetic vs. a general anesthetic,
says a CRNA from Texas.
• That standard doses apply to everyone, says Bruce Rioux, CRNA, director of
anesthesia services at Millinocket (Maine) Regional Hospital.
•
That the only way to treat pain is with narcotics, says Carrie Frederick, MD, direc-
tor of anesthesia services at a plastic surgery center in
Portland, Maine.
• That field injection with local prevents all post-operative pain, says a CRNA.
•
That all patients need the same amount of drug, says an anesthesiologist.
• That the same treatment regimen works for all patients, says Janice J. Izlar,
CRNA, DNAP, of the Georgia Institute for Plastic Surgery in
Savannah, Ga.
• That narcotics work just fine, so there's no need to change, says anesthesiologist
Denise Weiss, DO, of Salina, Kan.
— Dan O'Connor
SAY IT AIN'T SO
Common Misconceptions About Post-Op Pain
Pamela
Bevelhymer,
RN,
BSN
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