Preop meds for pain control
Can some of you anesthesiologists please remind me what preop meds are now used for reducing postop pain?
In my day I seem to remember lyrica, clonidine, and/or celebrex being meds that would be taken PO several hours before surgery and that made post op pain more tolerable
Please elighten me on what pre op PO meds are used for this (at least at academic centers) (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2023 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
Mark Cuban ’s Cost Plus Drugs
New consumer direct pharmacy started by Mark Cuban. They have a few meds that might help our patients. Looks very easy to create an account and order meds…..
Lidocaine 5% ointment - $5
Lidocaine 5% patches - 30ct- $46
Celecoxib- $9
Diclofenac 3% gel - 100g tube - $50
Diclofenac sodium ER - $6 (Source: Student Doctor Network)
Source: Student Doctor Network - June 27, 2022 Category: Universities & Medical Training Authors: DesertDoc16 Tags: Pain Medicine Source Type: forums
Worst Article Ever
Medications for Pain: The Overlooked Drugs to Reconsider When Prescribing for Pain
A review of pain medications of the past and how they may help to optimize the treatments of today.
www.doximity.com
Written by a pharmacist and horrible advice for 95% of it. Insanity. Would offer choline mg trilisate for young healthy folks if failed celebrex, mobic, diclofenac, and otc nsaids.
I do use SMRs as opiate alternatives.
The rest of the article is pure trash. (Source: Student Doctor Network)
Source: Student Doctor Network - September 19, 2021 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Multimodal anesthesia
Have you all been using multimodal anesthesia? If so, what? My current choices are listed below.
In pre-op holding:
Acetaminophen 975 mg PO
Celebrex 400 mg PO
Gabapentin 600 mg PO
At the start of anesthesia:
50 mg/kg MgSO4 IV
On certain cases I will add 10 mg dexamethasone to the bupivacaine for the local.
Patients complained about nausea when I've used OxyContin pre-op so I stopped.
I think what's made the most noticeable drop in post-op pain...
Multimodal anesthesia (Source: Student Doctor Network)
Source: Student Doctor Network - December 15, 2017 Category: Universities & Medical Training Authors: NatCh Source Type: forums
Enhanced recovery pathways
Since the OBGYN forum is dead, right i would post this here.
Just started out in practice. The place I'm at doesn't have a formal enhanced recovery order set so i carried one over from fellowship.
My current regimen :
Pre op
600mg gabapentin
1000mg po tylenol
400mg celebrex (i think this is not recommended for bowel cases but am unsure)
Intra op
Placed an On Q pain pump with ropivicaine, 0.2% at 6ml/hr
Post op
1000mg tylenol q6h scheduled
Toradol iv or ibuprofen po depending on...
Enhanced recovery pathways (Source: Student Doctor Network)
Source: Student Doctor Network - November 21, 2017 Category: Universities & Medical Training Authors: anonperson Source Type: forums
Med School Admission with Disabilities (Chronic Orthopedic Conditions)
Hi Everyone,
I am considering applying to medical school but am wondering how physical disabilities affect the admissions process. I have a ruptured/torn L5S1, retrolithesis, and sacroillitis (and a torn hip labrum, internal/external snapping hip and FAI which I hope to resolve with surgery in the next couple of months). Due to these issues I am on skelaxin and celebrex with the occasional need to take Ultram and Wellbutrin to break the pain cycle. I am trying to avoid a disk fusion by...
Med School Admission with Disabilities (Chronic Orthopedic Conditions) (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2016 Category: Universities & Medical Training Authors: Fly14 Source Type: forums
