Acute pain
management in the PACU: IV medications
An 87yo woman s/p hysterectomy under general anesthesia complains of 10 out of 10 pain. She had an epidural placed preoperatively, but it doesn't seem to be working at all. She has a history of mild dementia, hypertension, and CAD s/p revascularization 8 years ago.
References: (note, all residents should have access to Anesthesiology articles online if they receive the journal. Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)
An 87yo woman s/p hysterectomy under general anesthesia complains of 10 out of 10 pain. She had an epidural placed preoperatively, but it doesn't seem to be working at all. She has a history of mild dementia, hypertension, and CAD s/p revascularization 8 years ago.
- What is your pain plan?
- What are the advantages of
using opiates vs. nonopiates in this patient? Vice versa?
References: (note, all residents should have access to Anesthesiology articles online if they receive the journal. Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)