Postoperative pain management in patients with preexisting opioid dependence-A scoping review protocol.

IF 1.9 4区医学 Q2 ANESTHESIOLOGY

Acta Anaesthesiologica Scandinavica Pub Date : 2025-01-01 DOI:10.1111/aas.14556

Nikoline Svensson, Magnus Grønbæk Henriksen, Ann Merete Møller

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引用次数: 0

Abstract

Background: Opioid-dependent patients with chronic pain conditions present a significant challenge for anesthesiologists when managing acute postsurgical pain. Opioid-dependent patients can experience tolerance, physical dependence, and hyperalgesia. These patients have an increased risk of poorly managed acute postoperative pain, which can ultimately lead to suffering and potentially an overall increase in length of hospitalization and healthcare cost. However, this is an under-researched field. This scoping review aims to investigate effective strategies in managing postoperative pain in patients with preexisting opioid dependence.

Methods: A scoping review will be conducted on postoperative pain management in patients with preexisting opioid dependence. This review will be prepared according to the JBI methodology for scoping reviews and to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). We will conduct a comprehensive search across multiple databases. Backward citation searching of the final included articles will also be conducted. Data extraction will include trial and participant characteristics, intervention details, and reported outcomes.

Results: In the final review the results will be presented as a descriptive summary with supplementary tables, figures, and graphs where applicable.

Conclusion: The planned scoping review will map out the current evidence about effective strategies to manage postoperative pain in patients with preexisting opioid dependence. We will aim to identify research gaps that can be used as support in the development of further research.

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既往阿片类药物依赖患者的术后疼痛管理-范围审查方案

背景：阿片类药物依赖的慢性疼痛患者是麻醉师在处理急性术后疼痛时面临的一个重大挑战。阿片类药物依赖患者可能出现耐受性、身体依赖性和痛觉过敏。这些患者术后急性疼痛管理不善的风险增加，最终可能导致痛苦，并可能增加住院时间和医疗费用。然而，这是一个研究不足的领域。本综述旨在探讨对既往阿片类药物依赖患者术后疼痛管理的有效策略。方法：对既往阿片类药物依赖患者的术后疼痛管理进行范围综述。本综述将根据JBI的范围评价方法和范围评价的系统评价和元分析扩展首选报告项目（PRISMA-ScR）进行准备。我们将在多个数据库中进行全面搜索。对最终收录的文章进行逆向引文检索。数据提取将包括试验和参与者特征、干预细节和报告结果。结果：在最后的回顾中，结果将以描述性总结的形式呈现，并在适用的情况下补充表格、数字和图表。结论：计划的范围审查将绘制出当前的证据，有效的策略，以管理术后疼痛的患者已有阿片类药物依赖。我们的目标是找出研究差距，以支持进一步研究的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Anaesthesiologica Scandinavica 医学-麻醉学

CiteScore

4.30

自引率

9.50%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Acta Anaesthesiologica Scandinavica publishes papers on original work in the fields of anaesthesiology, intensive care, pain, emergency medicine, and subjects related to their basic sciences, on condition that they are contributed exclusively to this Journal. Case reports and short communications may be considered for publication if of particular interest; also letters to the Editor, especially if related to already published material. The editorial board is free to discuss the publication of reviews on current topics, the choice of which, however, is the prerogative of the board. Every effort will be made by the Editors and selected experts to expedite a critical review of manuscripts in order to ensure rapid publication of papers of a high scientific standard.