What is your preferred analgesic in patients with small bowel obstruction or ileus?

I prefer scheduled IV acetaminophen; if possible, IV ketorolac. At my institution, we also have an option for Butrans patches, as there is decreased effect on the gut. There is some evidence for IV lidocaine, which is also available. IV lidocaine is a reasonable opioid-sparing option to prevent post...

I typically use IV Tylenol ATC if fully obstructed, and IV Toradol if no other contraindications to NSAIDs (and they often are quite prerenal or losing a lot of fluid from an NG tube, so I often don't feel comfortable with more than a couple doses, and if I think they are going to the OR, I do not u...