Transitional Pain Service

The Transitional Pain Service at Wasser Pain Management Centre was developed to support Mount Sinai Hospital inpatients with pre- and post-surgical pain conditions. Specifically, this program focuses on the provision of safe opioid titration and tapering, to optimize multimodal analgesia, and to facilitate appropriate pain management following surgery.

The goals of this program are to:

• Minimize the development of chronic post-surgical pain
• Provide timely access for inpatients who need careful monitoring and adjustment of pain medication following surgery
• Minimize visits to the Emergency department due to poor pain control

TPS referral criteria may include one or a combination of the following:

• Upcoming surgery with a complex pain history (including patients on methadone, buprenorphine/naloxone, and other opioid analgesics)
• Surgery within the past six months with poor post-operative pain control or concerns related to pain management
• Patients who require opioid weaning assistance after discharge from the acute pain service