M a r c h 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 9 1
Mr. Schneider explains:
Pre-op: Give the patient oral Tylenol, cloni-
dine and gabapentin, and administer an ultra-
W
e asked 3 nurse anes-
thetists to share their pain
management recipes dur-
ing each stage of surgery
for 3 notoriously painful
procedures: total knees, shoulders and total
hips. There was one condition: no opioids.
JoEllen McBride, PhD | associate Editor
anesthetists share the ingredients to their
multimodal approach to 3 painful surgeries.
Adam Schneider, CRNA
Pre-op
• 1000 mg Tylenol
• 100 mcg clonidine
• 300 mg gabapentin
Post-op
10-14 mL/hr 0.2% ropivacaine
15-30 mg toradol (optional)
Intra-op
• Spinal Anesthetic
• 50 mcg/kg/min propofol
• 0.25 mg/kg/hr ketamine
• 250-500 mg/hr magnesium
• 1.0 mg/kg/hr lidocaine
Total Knee Arthroplasty
Katrina O'Con, DNAP, CRNA
Natchitoches (La.) Regional Medical Center
The Society for Opioid Free Anesthesia
kvocon@gmail.com
Robert Bland, CRNA
PeaceHealth Peace Harbor Medical Center
Florence, Ore.
rblandpeacehealth@gmail.com
Adam Schneider, CRNA
Paris (Ill.) Community Hospital
adschne@gmail.com
