- Joined
- Nov 12, 2007
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I'm at a busy trauma center where pain service is needed for a pca
Now im all about giving round the clock Tylenol and NSAIDs (if no Ortho injuries), but here
For virtually every patient, standing baclofen and lyrica/neurontin is added on.
Now if a patent is a paraplegic or partial spinal patient, then early tx with lyrica makes sense. If patient has huge thoracotomy without muscle sparing, then baclofen makes sense.
But they will give baclofen to a patient with midline laparotomy (goes thru Linea alba.... Not muscle)or a chest tube. Lyrica a close second
Am I missing something? I understand the concept of narcotic sparing,
But it seems we are using too Many drugs.
I'm oblivious to standard of care, and guidelines which is why I ask you all!
Thanks!
Now im all about giving round the clock Tylenol and NSAIDs (if no Ortho injuries), but here
For virtually every patient, standing baclofen and lyrica/neurontin is added on.
Now if a patent is a paraplegic or partial spinal patient, then early tx with lyrica makes sense. If patient has huge thoracotomy without muscle sparing, then baclofen makes sense.
But they will give baclofen to a patient with midline laparotomy (goes thru Linea alba.... Not muscle)or a chest tube. Lyrica a close second
Am I missing something? I understand the concept of narcotic sparing,
But it seems we are using too Many drugs.
I'm oblivious to standard of care, and guidelines which is why I ask you all!
Thanks!