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Papers of the Week

2022 Feb 21

Am Surg

Multi-modal Pain Control Protocol Decreases Narcotic Consumption in an Inpatient Trauma Population.


Biester JML, Mentzer CJ, Caswell SR, Morrow CE, Mount MG, Thurston BC, Compton BS, Bendyk HA, Frye SW, Mohorn PL, Lombardozzi KA
Am Surg. 2022 Feb 21:31348211058641.
PMID: 35187978.


Opioid use after surgery or trauma has been implicated as a contributing factor to opioid dependence. The Acute Care Surgery (ACS) service at our community-based trauma center instituted an opioid-minimizing, multi-modal pain control (MMPC) protocol. The classes of pain medication included a non-opioid analgesic, a non-steroidal anti-inflammatory drug, a gabapentinoid, a skeletal muscle relaxant, and a topical anesthetic. We hypothesize that the MMPC will result in lower opioid consumption compared with the prior STP as evidenced by lower morphine milligram equivalents (MME) per day.