My favorite IV Narcotic is??

[EMRaiden]

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With this discussion of pain meds I was wondering what everyone's first choice narcotic pain med is (for the patient, not recreational)....

 

[DrQuinn]

Being a super star intern for only 3 months, I've never used Fentanyl, and rarely Demerol (just had a Pancreatitis though). One of the EM attendings at Maryland told me never to use Demerol...

Since then, I asked tons of anesthesiologists and surgeons and attendings, and the only other advantages to using Vitamin D is that it does give a "supratentorial" effect, which may help the patient believe the pain medicine is working more.

I give a lot of MS though.

WHile we're on the topic, I've given a lot of placebo nicoderm patches. I tell the RN to just put some Tegaderm on it. Its worked 100%. "Thanks so much, doc, you're a live saver!" I only use it for those really annoyuing House Officer calls.
Q, DO

 

[ERMudPhud]

I use fentanyl for almost everything until I am sure that longer term analgesia is appropriate then I switch to dilaudid (cheaper than morphine where I practice and nicely long acting)

 

[deleted6669]

I like dilaudid as well but don't forget agonist/antagonists like stadol/talwin/nubain. they certainly have their place and choice pt population as well.....

 

[SHOX]

Hands down... Dilaudid.

 

[Chris_Topher]

HEROIN!!!! Aaahhhh hhaaa hhaaa hhaa hhaaa hhhaaa!!!!!!! AAAaaaaaahhhhhhhhhhhh......

 

[El Duderino]

How about ketobemidone?

 

[klite]

Dude, are they still talking about bringing heroin back as a frontline pain med? I guess the whole stigma thing may outweigh the slightly faster onset of action..