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Updated: Jan 6, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
Evidence-Based Use of Nonopioid Analgesics
Michael J Kremer1, Charles A Griffis2
1is a professor at Rush University College of Nursing and codirector, Rush Center for Clinical Skills and Simulation, Rush University, Chicago, Illinois.
Abstract:
Analgesia is a necessary component of any anesthetic technique, and can be achieved with local anesthetics, opioid and nonopioid analgesics, and inhaled anesthetic agents. Risks and benefits are associated with each of the agents and techniques described here, including local anesthetic systemic toxicity, respiratory depression, nausea, and urinary retention. Implementation of Enhanced Recovery After Surgery (ERAS) protocols, use of preemptive analgesia techniques, and the national opioid crisis are fostering increased utilization of nonopioid analgesics, including local anesthetics, nonsteroidal anti-inflammatory medications, intravenous acetaminophen, neuromodulatory agents such as gabapentin, corticosteroids, centrally acting ⟨2 agonists, and ketamine. Certified Registered Nurse Anesthetists optimize the safety and quality of care they provide through use of evidence-based practice, including the drugs they select, order, and administer, such as opioid and nonopioid analgesics, when providing anesthesia care.
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