MS69

I think patients do much better in regards to pain management when they do not arrive in PACU crawling out of the bed because they are in pain. When patients receive small doses of Fentanyl or Morphine during the case it is much easier to control pain post op. Torsdol seems to be much more effective if given during the case. I have observed that patients who receive Toradol intraop require less narcotics in the PACU. Patients who are on Chronic pain meds at home also need to have orders for dilaudid post op rather than Morphine 2mg every 5 min. to max of 10mg. Come on this will never work. Controlling nausea is paramount as well. Patients who receive Zofran prior to induction seem to do better. Pain control post op takes time and experience. It really is a fine line sometimes between control and breathing.

I think patients do much better in regards to pain management when they do not arrive in PACU crawling out of the bed because they are in pain. When patients receive small doses of Fentanyl or Morphine during the case it is much easier to control pain post op. Toradol seems to be much more effective if given during the case. I have observed that patients who receive Toradol intraop require less narcotics in the PACU. Patients who are on Chronic pain meds at home also need to have orders for dilaudid post op rather than Morphine 2mg every 5 min. to max of 10mg. Come on this will never work. Controlling nausea is paramount as well. Patients who receive Zofran prior to induction seem to do better. Pain control post op takes time and experience. It really is a fine line sometimes between control and breathing.