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Peri-Operative Pain Management Page 1 of 21

Page 1 of 21 Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson s specific patient population, services and structure, and clinical information. This is not intended to replace the independent medical or professional judgment of physicians or other health care providers in the context of individual clinical circumstances to determine a patient's care. This algorithm should not be used to treat pregnant pain ManagementDepartment of Clinical Effectiveness V4 Approved by the Executive Committee of the Medical Staff on 10/20/2020 TABLE OF CONTENTSPost- operative pain Assessment and Treatment ..Pages 2-3 Quick Reference 4 APPENDIX A: Comprehensive pain Assessment ..Page 5 APPENDIX B: Non-Opioids .. Page 6 APPENDIX C: Opioid Dose Considerations ..Pages 7-8 APPENDIX D: Opioid Side Effects Prevention and Management .

Breakthrough pain: Doses of short-acting opioids for breakthrough pain should be 10 to 20% of the total daily dose given every 1 to 4 hours as needed. Breakthrough opioids can be given as frequently as every 1 hour for oral doses or every 15 minutes if intravenous (assuming normal renal/hepatic function).

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  Management, Operative, Pain, Breakthrough, Breakthrough pain, Operative pain management

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