Using a standardized pain management approach through regional anesthesia for major limb amputation patients

While the new approach did not show improvement in LOS or NPS, there was a substantial reduction in total MME required by these patients. This formalized framework aids the effective management of the MLA patient's pain. For sustainability, improved education and sedation training of the advanced practice providers will allow for bedside RA application. There is a marked need to develop a formalized transition from RA to an oral pain regimen prior to discharge to provide adequate long-term coverage.