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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.

Opioid tolerant: Patients who are chronically receiving opioid analgesics on a daily basis. The FDA identifies this group as “receiving at least 60 mg of morphine daily, at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid for a week or longer.”

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