Committees : SASH DTC
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Committee Types
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Committee
- ASPH DTC
- East Surrey CCG Medicines Programme Board
- East Surrey MOG
- Epsom St Helier NDAIG
- ESCCG sub-committee of North Place Alliance Clinical Strategy Committee (formerly Clinical Executive
- Guildford and Waverley MOG
- Medicines Optimisation Operational Group (MOOG)
- Not Set
- NW Surrey Medicines Optimisation Group
- Primary Care Medicines Optimisation Clinical reference Group (PCMOCRG)
- RSFT DTC
- SASH DTC
- Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)
- Surrey Downs CCG Prescribing Leads Meeting
- Surrey Downs MOG
- Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)
- Surrey Heartlands Medicines Optimisation Board (MOB)
- Surrey Heartlands Medicines Safety Committee (MSC)
- Surrey Medicines Commissioners Group
Trust
Profiles (0)
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Committee Recommendations (1)
05 Jun 24
Indication: Rib fracture (off-label). Approved for use on advice of pain team, ICU, anaesthetic, surgical, orthopaedic and ED consultants only.
It is indicated in the following situations:
- First line for elderly patients (age >65) eg those with high risk systemic side-effects from opiates, dementia and delirium, falls causing chest trauma.
- First line for patients with a high chest injury score prior to waiting for regional infusion via CEPOD theatre if likelihood of delays.
- First line for patients not suitable for regional procedure eg dementia with aggression, anterior/ sternal fractures or high risk due to anticoagulation therapy.
- Second line for physically well patients whose pain is not well controlled with other analgesia.
- First line for patients where opioids are not appropriate or need to be reduced to reduce risk of respiratory depression and other side effects.
Supply for maximum of 2 weeks