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Re: Postop Pain ControlFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sat Apr 12 08:00:18 2008
At Thu, 10 Apr 2008, Ron wrote: > >One of our anesthesiologist recently started using Gabapentin as a pre >and postop pain medication on our hysterectomy patients, in addition to >the usual - Toradol, intrathecal narcotics, etc. The nursing staff feel >the patients are under better pain control, but also harder to get >moving. He is an excellent anesthesiologist, in fact he was the first >to use intrathecal narcotics when they were introduced, so it is hard to >challenge him on this change. The other three anesthesiologists haven't >grabbed ahold of this "cutting edge." Is this being used in any of your >hospitals? Its used where I work with good results, only for the first 24 hrs post op, the big difference is the post op epidural IMHO. Its only used for difficult majors like abdominal hysts with big incisions and lots of disection in the peritonium. Molbility in these patients for the first 12-24 hrs is leg dangling and getting up to void when the catether comes out the next day. We have a post op pain service run by the anesthesiologists, simplies my life tankyou.
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Take care, John
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