Perioperative Analgesia

Last updated 03.11.12

 

Index

 

Features

- Analgesia from admission to discharge

 

Multimodal

- Paracetamol, NSAIDs, Narcotic +/-

- NSAIDs

-  Drug of choice after day procedures

-  Effective after minor --> moderate surgery

-  Decrease opiod requirements

-  Increase bleeding time

-  Caution in PUD, renal impairment

-  Narcotics

-  Morphine

-  Tramadol

-  Low addiction potential

-  SE: seizure, serratonin syndrome (when used w SSRIs)

-  Ketamine

-  Low dose bolus: 0.25mg/kg + infusion 2-3ug/kg/min

-  Improved analgesia, less nausea, less prutitus

-  IV PCA combo w Morphine: 1mg/ml each in same syringe

-  PCA

-  Epidural

-  Reduced mortality & morbidity than GA & less $

-  General Anaesthetic (GA)

 

 

 

References