- Acute pain service advises us on post-surgical pain. The service has transitioned from having “free rein” to being advisory only. It is almost always nurse practitioner led (who has prescribing rights). We usually act on her advice, but not always.
- IV paracetamol is only used if GIT not accessible. Used to be only under authority of consultant but that is impractical for the night ICU registrar
- Strong preference is for hypotensive patients with epidural post bowel anastomosis is for them to be sent to ICU for vasoactives rather than buckets of fluid and turning epidural off / down with the subsequent pain and mobilisation issues.