From: Acute postoperative pain management protocols in podiatric surgery within Australia: a Delphi study
Delphi Statement | Consensusa,b (Median) | Interquartile rangec | ||
---|---|---|---|---|
Round 2 | Round 3 | Round 2 | Round 3 | |
The following should be prescribed for mild postoperative pain after osseous and/or soft tissue type podiatric surgery: | ||||
 Oral paracetamol. | A (9) | A (8) | 9–9 | 8.25–9 |
 Oral paracetamol SR 665 mg. | A (8.5) | A (8) | 7–9 | 7–9 |
 An oral COX-2 inhibitor. | A (7) | A (8) | 7–8 | 7.25–9 |
 An oral non-selective NSAID. | N (5) | N (5) | 4.25–7 | 5–6.75 |
 An oral opioid combination product. | I, N (4) | I, N (5.5) | 3–5 | 3–6 |
 Oral oxycodone. | I (1.5) | I (2) | 1–2 | 1–2.75 |
 Oral tramadol. | I (1) | I (2) | 1–3 | 2–2.75 |
 Oral tapentadol IR. | I (1) | I (2) | 1–3 | 1–2.75 |
 Oral tapentadol SR. | I (1) | I (2) | 1–1.75 | 1.25–2.75 |
 Sublingual buprenorphine. | I (1) | I (2) | 1–2 | 1–2.75 |
 Postoperative oral opioids should be prescribed for a shorter duration for soft tissue procedures than osseous procedures. | A, N (5.5) | A (7) | 5–7 | 4.25–8.5 |
 Oral opioids such as paracetamol plus codeine, oxycodone, tapentadol, or tramadol should be prescribed for breakthrough pain. | A (7.5) | A (8) | 7–9 | 8–9 |