Updates to Surgery Postprocedure Analgesics

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

• Updates to Surgery Postprocedure Analgesics

Since December 2023, the evidence-based "Standard Analgesic Adult" panel has been available to order using browse or the facility list. As of February 14, 2024, certain ERAS Postprocedure order sets will change to incorporate the Standard Analgesic Adult panel in place of the current "Analgesics/Antipyretics" section. "Naloxone" and "Adjuvant" sections will also be added, where appropriate. This change will affect personalizations applied to the Analgesics/Antipyretics section in the affected order sets.

• Affected ERAS Postprocedure order sets:
• ERAS Breast Reconstruction Surgery Postprocedure Adult
• ERAS Colorectal Postprocedure Adult
• ERAS Liver Surgery Postprocedure Adult
• ERAS Major Gynecology and Gynecologic Oncology Surgery Postprocedure Adult
• ERAS Pancreas Surgery Postprocedure Adult
• Moderate to severe acute postsurgical pain is best managed using a combination of scheduled non-opioid analgesics and PRN opioids. For further information about optimal pain management plans for surgical patients, see the following resources:
• SolvingPain
• Surgery Pain Management 
• Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

Over time, other surgery order sets will change to incorporate the new Standard Analgesic Adult panel. Head and Neck surgeons and SMEs were engaged in a provincial working group collaborating on these revisions over the past year, and changes to the ERAS Major Head and Neck Cancer Surgery with Free Flap Reconstruction Adult order set are also expected in the future. A standard analgesics panel for pediatrics is under development.