Table 5 Drug Hypersensitivities / Allergies – Expert derived recommendations for Round 2 and 3
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 | |
If a patient is hypersensitive or allergic to an NSAID, paracetamol or opioids should be used. | A (8.5) | A (9) | 8–9 | 8–9 |
If a patient is hypersensitive or allergic to an opioid, paracetamol or an NSAID should be titrated to tolerance. | A (8.5) | A (8.5) | 8–9 | 8–9 |
If a patient is hypersensitive or allergic to a specific opioid, an alternative opioid should be used. | A (8.5) | A (8.5) | 8–9 | 8–9 |
If a patient is hypersensitive or allergic to NSAIDs and opioids, paracetamol, gabapentinoids, or ketamine should be used. | A (8) | A (8) | 6.25–9 | 7–8.75 |
A combination of long-acting local anaesthetic mixed with dexamethasone (or other corticosteroid) or intraoperative intravenous dexamethasone should be administered for patients with allergies to NSAIDs and/or opioids, or for general use in a preoperative or intraoperative setting. | A (8.5) | A (8) | 8–9 | 7–9 |