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With the United States and many other countries in an opioid epidemic, the medical and nursing communities can play a major role in correcting this often-deadly problem. The anesthesia provider is in a unique position because their profession deals with perioperative pain daily. Through the history of anesthesia, we have used opioids on a regular basis for pain control during surgery. Research has shown, that opioids have many side-effects and could lead to addiction. It is important that all anesthesia providers seek new methods to treat pain perioperatively. Therefore, multi-modal pain management research is critical to our efforts. Research in this area has explode over the past few years. To summarize their findings, the use of Acetaminophen, ketamine, Toradol, lidocaine, Decadron, magnesium, Robaxin along with a regional or neuraxial block have demonstrated amazing results in decreasing opioid use perioperatively. Many institutions have set-up protocols that they have specifically developed for the nurses and physicians. The goal in multi-modal pain management is decreasing or eliminating the use of opioids in the perioperative arena. Utilizing central acting medications with regional/neuraxial anesthesia, seems promising to help correct the opioid epidemic and patient outcomes are better.
Nursing Practices in Current Evidence Based Multi-modal Anesthesia for Perioperative Pain Management
Steven Fowler Assistant Professor ADVENTIST UNIVERSITY OF HEALTH SCIENCES USA Published date: 01-04-2018