Little trick I've used when narcs a little over done and the post op patient isn't taking too many breaths is to trickle in a little nubain instead of narcan to keep from totally reversing the analgesia...Works pretty good sometimes...
And also doesn’t trigger a QI review like narcan does….neither does aminophylline lol.
Got called in at midnight not long ago to help calm down a pregger on long term methadone who the midwife ordered nubain for….oops….some morphine and precedex did the trick.