Noticed a Facebook "trending topic" this evening (early morning?) about neonatal abstinence syndrome and it talked about prescription drug abuse. Thought it was an interesting article.
Researchers say the increase coincides with the increase in opioid use in rural communities and rising prescription pill overdose rates.
Honestly, I would be happy if I never had to give IV dilaudid.
I have told all my docs and nurse friends, if I end up in the hospital, NO IV NARCS. I had auditory hallucinations when I had PO oxycodone after a knee surgery. I can only imagine that dilaudid would probably kill me.
Well, that sounds great in theory. But what exactly do you want your anesthesia team to do if you, once in a while, need a surgery? Not a wisdom tooth pull. Not even an I&D. A real thing, your flesh being cut with cold steel.
The hard fact is, modern surgical anesthesia is not possible without opioids. It will look like you want a driver to take you from point A to point B through a large city but you expressively prohibits him to ever hit the brakes because you just happen not liking them.
From my experience, as a patient and health care provider, there are very few things worse than dictating health care providers how to do their jobs because you read, heard or otherwise think you know something (while you do not). I see the heroic souls (and their victims) who decline pain relief for themselves or for their loved ones out of fear of addiction, out of wish to see them "alert and oriented", etc. The typical result is bad pneumonia because the patient in pain cannot breath and cough. By the point I see the patient, he is PICCed, PEGed, trached and hooked to the vent with long and windy road of "prolonged wean" lying in front of him. This is the price of "just wanting things to be my way".
I had bad side effects when I was given opioids, and so in my med alert card there is a line to please give me everything according to local PONV protocol if I need any opioids. I will choose a hospital where regional anesthesia is practiced in in its full capacities (which are nothing short of amazing). But I will never deny anything basing on my personal ideas unless I know what I know... and what I don't.
Last edit by KatieMI on Dec 15, '16
Last edit by shedevilprincss on Dec 15, '16
: Reason: duplicate