Table 6 Opioid Prescription Concerns – 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 | |
Sedation and/or respiratory depression with opioid use is a concern given that there is a potential risk of this side effect. | A (7.5) | A (7.5) | 6–8 | 7–8 |
There are concerns about the use of codeine due to its unpredictability with some patients being poor or ultra-rapid metabolisers. | A (8) | A (7) | 7–8 | 7–7.75 |
There are concerns about the prescription of narcotics to the elderly age group in particular. | A (9) | A (7.5) | 7.25–9 | 7–8 |
Overuse and prolonged use leading to addiction/dependence is a concern with the prescription of opioids for pain management following podiatric surgery. | A (6) | A (6.5) | 5–8 | 3.5–7 |