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Prescriber's Guidelines - (con't)

These guidelines were developed for the use by Stony Brook University Hospital’s Acute Pain Service.

PERIPHERAL NERVE BLOCKS/CATHETERS - (con't)

TOTAL HIP REPLACEMENT

Premedicate with sustained release oxycodone.
PRE-OP: Lumbar plexus block, Ropivacaine 0.25-0.5% 30cc (with or without adjuvant)
INTRA-OP: Spinal with heavy sedation/GETA
POST-OP: The lumbar plexus catheter issued with either continuous infusion of ropivacaine with demand dose or with only a patient controlled demand dose.
ALSO: OxyContin®, oxycodone prn breakthrough

 

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