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Acute Traumatic Opioid-Sparing Pain Management Algorithm

Published byWidya Budiono Modified over 6 years ago

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Presentation on theme: "Acute Traumatic Opioid-Sparing Pain Management Algorithm"— Presentation transcript:

1 Acute Traumatic Opioid-Sparing Pain Management Algorithm
Injured Patient No Intubated? Yes Physical (splint/stabilize fracture/injury Physical (splint/stabilize fracture/injury Yes Pain controlled? No Pain controlled? Yes APAP APAP Yes Pain controlled? No Pain controlled? Yes Anatomy of injury amenable to Block/Neuraxial Anesthesia? Contraindication to NSAIDs Yes No IV NSAIDs Yes Pain controlled? No Pain controlled? Yes Contraindication to NSAIDs Intermittent IV opioid (IVP, PCA) No NSAIDs Yes Yes Pain controlled? No Pain controlled? Yes Yes Lidocaine Patch Oral Opioids Yes Pain controlled? No Pain controlled? Yes Muscle Relaxants Yes Muscle Spasm? Lidocaine Patch Yes Pain controlled? No Pain controlled? Yes Gabapentinoids Anatomy of injury amenable to Block/Neuraxial Anesthesia? Yes Pain controlled? No Yes Pain controlled? Yes Oral Opioids Yes Pain controlled? No Gabapentinoids Intermittent IV opioid (IVP, PCA) Pain controlled? Yes Yes Pain controlled? No Continuous low dose IV ketamine Continuous low dose IV ketamine No Pain controlled? Yes Yes Pain controlled? Continuous IV opioid No Pain controlled? Yes Other Adjuncts

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