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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
June 01, 2023 - Program for Improving Surgical Care and Recovery
1
Defining Multimodal Analgesia
Combination of analgesic … drugs with diverse mechanisms of action
Includes opioid and nonopioid analgesics
Effective strategy … needed (PRN)
Combination of NSAIDs and acetaminophen provides additive analgesia
NSAIDs are potent analgesics … Single dose oral analgesics for acute postoperative pain in adults - an overview of Cochrane reviews. … Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques: a review
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - versus alternative
pharmacotherapies (non-opioid analgesics) … the non-opioid analgesics include nonsteroidal
anti-inflammatory drugs (NSAIDS) as well as other analgesics … drugs (NSAIDs) and other analgesics, such as acetaminophen. … Of these, 2,681 (28.1%) received opioid analgesics and 6,848 (71.9%) received non-opioid
analgesics … Of these, 5,363 (40.1%) received opioid analgesics, and 7,996 (59.9%) received non-opioid
analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Slide 2
Multimodal Analgesia Strategies
Many commonly used analgesic agents and techniques can be … Slide 4
Single-Dose Analgesics
What is often misunderstood is how effective NSAIDs and acetaminophen … , or single-dose combination analgesics in the case of codeine and acetaminophen. … These are weaker analgesics, although they may still play a role in multimodal analgesia given that their … mechanism of action differs from those of other analgesics, including opioids.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
April 01, 2014 - Analgesics
are the foundation for the management of sickle cell
pain, and their use should be tailored … Many uncomplicated episodes can be managed at
home with oral fluids; oral analgesics (ibuprofen,
acetaminophen … experienced clinicians
providing rapid evaluation and aggressive treatment
with supportive care and analgesics … One
approach consists of the following steps: treat the
cause, if possible; begin analgesics; start … Reliable patients can be given oral
analgesics with codeine at home.
III Steinberg MH.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - Consider the following treatments for symptom management in adults and children ≥ 6 years of age:2-5
‒ Analgesics … decongestant and antihistamine/decongestant/analgesic combinations: may reduce
congestion; combinations with analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
September 01, 2022 - Counseling about analgesics for pain should be part of your recommendation. … organisms have not been associated with rheumatic fever, so focusing on symptomatic relief only with analgesics … the patient has strep throat or not—supportive measures like warm tea, honey, and throat lozenges or analgesics … Over-the-counter analgesics and home remedies can be recommended for symptom relief.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - Recommend analgesics
Pharyngitis
AHRQ Safety Program for Improving Antibiotic Use – … Recommend analgesics
Pharyngitis
AHRQ Safety Program for Improving Antibiotic Use – … Safety Program for Improving Antibiotic Use – Ambulatory Care
16
Warm tea
Honey
Throat lozenges
Analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-protocol.docx
January 01, 2017 - Awakening and Breathing Trials Protocol
If the patient passes the safety screen, all sedatives and analgesics … Analgesics used for pain are continued as necessary.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - Symptomatic Therapy
• Tea, honey, and throat lozenges or analgesics such as acetaminophen or ibuprofen
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-protocol.html
January 01, 2017 - If the patient passes the safety screen, all sedatives and analgesics used for sedation are stopped. … Analgesics used for pain are continued as necessary.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3i.docx
January 01, 2012 - Risk Score
Point Value (Risk Level)
American Hospital Formulary Service Class
Comments
3 (High)
Analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
March 01, 2024 - Therefore, analgesics, including opioids, are often prescribed to mothers after
birth. … These opioids are identified by generic drug names for narcotic
analgesics and narcotic analgesic combinations
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
December 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
January 01, 2017 - The CAM-ICU can be done while on or off sedation/analgesics and it is up to the clinical team to interpret … the results of the delirium assessment in light of the presence or absence of sedatives/analgesics. … Analgesics being used for pain can be continued.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - Antihistamine-decongestants
Antihistamine-decongestant- analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Multimodal Pain Management
Choose your approach:
If no contraindications, give all of the following analgesics … involve:
Regional analgesia
Core nonopioid analgesic regimen
Optional analgesic adjuncts
Optional opioid analgesic … agents only as needed
Pathway
Component
Example Processes To Consider
As a team, go through each … All ISCR Pathways
Postoperative Multimodal Pain Management
Choose your approach:
· Nonopioid analgesics … All ISCR Pathways
Discharge Pain Control
Recommended approach:
· Nonopioid analgesics
Scheduled:
·
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
January 01, 2013 - Score
Point Value (Risk Level)
American Hospital Formulary Service Class
Comments
3 (High)
Analgesics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-overview-rev.pdf
October 01, 2021 - Effect of a single dose of oral opioid and nonopioid
analgesics on acute extremity pain in the emergency
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=33
December 01, 2006 - Affiliation: McMaster University Report Status: Final
Comparative Effectiveness and Safety of Analgesics
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=24
February 01, 2012 - Comparative Effectiveness Reviews Affiliation: McMaster University Report Status: Final
Analgesics