Table 1.
Protocol for Rescue Analgesic Administration
NRS | Analgesic | Route | Dose, mg | Administration |
---|---|---|---|---|
Postanesthesia care unit (recovery room) | ||||
1–2 | Oxycodone* | Oral | 5 | If patient desired |
3–4 | Oxycodone* | Oral | 10 | Every 30 min |
5–6 | Morphine | Intravenous | 2 | Every 10 min |
Orthopedic ward | ||||
7–10 | Morphine | Intravenous | 4 | Every 10 min |
<4 | Oxycodone* | Oral | 5 | If patient desired |
4–7 | Oxycodone* | Oral | 10 | Once |
>7 | Morphine | Intravenous | 2–4 | Every 10 min until NRS <4 |
Pain reassessed after 30 min | ||||
<4 | Oxycodone* | Oral | 5 | If patient desired |
4–10 | Morphine | Intravenous | 2–4 | Every 10 min until NRS <4 |
Intravenous morphine (2 mg) was administered instead of oxycodone when oral intake was not tolerated.
NRS = pain on numeric rating scale (0–10, 0 = no pain and 10 = worst imaginable pain).