In this episode of ACCRAC, Jed Wolpaw hosts Drs. Grant and Bicket to discuss the intraoperative use of non-opioid adjuncts for pain management. They explore various medications, including magnesium, ketamine, IV NSAIDs (Toradol/Ketorolac), IV Tylenol, IV dexamethasone, Esmolol, IV lidocaine, and dexmedetomidine, detailing their mechanisms, advantages, disadvantages, and appropriate dosing strategies. The discussion covers the opioid-sparing effects of these adjuncts, their potential side effects, and considerations for specific patient populations, as well as the importance of balancing pain management with potential risks and the need for further research on combining these medications.
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