For large operations, regional nerve blocks are utilized.
Examples: Epidural, Spinal, delto-pectoral, supraclavicular, axillary, pudendal, TAP.
For all operations, a multimodal pain regimen, focusing on decreasing inflammation is also utilized.
Example (following outpatient laparoscopic surgery):
- Tylenol 650mg every 8 hours x 7 days
- Ibuprofen 800mg every 8 hours x 3 days
- The general goal is to avoid opiate analgesics which cause nausea, constipation, headaches, and “brain fog.”