Postoperative analgesia

Selected Guideline Examples Date
Rosie Hospital, Cambridge September 2019
North Bristol NHS Trust February 2021
Lewisham and Greenwich NHS Trust
June 2021
University Hospitals Coventry & Warwickshire NHS Trust
January 2017
We Liked
  • Summary of Key messages/ Best practice points
  • Analgesia flowcharts
  • Acknowledgement of special cases, eg women with known chronic pain
  • TAP / rectus sheath blocks can be performed under direct vision by surgeons - reference to evidence that this is efficacious and can be performed routinely unless patient has epidural top up and concerns re exceeding safe dose of LA
  • Standards of monitoring 
  • High opiate requirement (>30 mg morphine in 6 hrs in one guideline) should trigger obstetric/anaesthetic review - as recommended by MBRRACE-UK
  • Management of side effects of analgesics (pruritus, nausea etc)
Comments
  • The Self Administration of Medicines (SAM) is mentioned in one guideline and this may be increasingly used in more units, with appropriate protocols and patient selection. 
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