Pain

Question 1

OIVI Sedation Score

Answer 1

0: Wide awake
1: Easily rousable
2: Easily rousable but unable to stay awake
3: Difficult to rouse
≥2 = OIVI

Question 2

Opioid Stewardship

Answer 2

Coordinated interventions to improve/monitor opioid use to support and protect human health

Main issues: OIVI PPOUD, Diversion

National- regulation of prescribing/dispensing

Preop:
- Risk factors
- Mitigate modifiable

Intraop
- Multimodal + regional
- Avoid SR
- Monitoring (OIVI)
- Funcitonal pain assessment
- APMS

Postop
- Avoid >7 days strong opioids
- Plan for wean- communicate to GP and pt
- F/u +/- transitional
- Secure storage
- Consider split dispensing