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Yet More Less is More

Paul Simmons, MD and Neda Frayha, MD
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No me gusta!

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Paul and Neda are back at it, continuing their ongoing series on the JAMA Less is More series for reducing unnecessary interventions in primary care. 

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Michael B. -

Does calculating the MME have any roll in acute post-surgical pain management?

Neda F., MD -

Hi Michael! Here's Paul's response:

"Hello, Michael! Thanks for the question. I would say that MME calculations are useful in any situation in which we're trying to "translate" from one opioid to another. In the post-operative setting, for example, if your patient was hospitalized for two days and treated with hydromorphone, but you want to manage his or her outpatient pain with oxycodone, calculating the MMEs of hydromorphone he or she was receiving will help you figure out the dose of oxycodone needed. So, in that sense, MMEs are a super-useful way to make sure you're treating the patient with equivalent opioid doses."

Hope this helps -- Neda

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Hippo Primary Care Written Summary August 2021 251 KB - PDF

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