Post-op Pain
Multi-Modal
Rescue
These notes are no substitute for sound medical knowledge and training.
Clinicians should always use and rely upon their clinical judgment and decision making.
All information presented must first be confirmed for accuracy prior to use in patient care.
Acetaminophen
and
NSAIDs
Should be first line
Unless contraindicated
Gabapentinoids
Rescue Blocks
Consider:
TAP for abdominal Surgery
Paravertebral Blocks
Epidurals
Ketamine Infusion
1-2 mcg/kg/min
IV lidocaine
1 to 1.5 mg/kg IV for up to 48 hours
Concern with local anesthesia toxicity
Consider Telemetry Cardiac Monitoring Requirements
Negative Ionotrope
Tramadol
PCA Opiates