What are y'all using for post-op pain control? All I've got are MS 2mg IV Q 1h PRN while on ventilator, Demerol 75mg/Phenergan IM Q 3h PRN, Vicodin when taking PO. This makes it tough to medicate for pain when they are newly extubated (hesitant to give the vicodin on an empty belly with no bowel sounds.) Not liking the Demerol, I've had 2 patients in the last 3 weeks go crazy

on me! One tried to choke me with his chest tubes. What does everybody else use?