[Optimal use of the administration of morphine derivatives].

Cahiers d'anesthesiologie Pub Date : 1995-01-01
A Langlade
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引用次数: 0

Abstract

During the postoperative period, the efficacy of opioid treatment is different among patients. Indeed, an extreme variability exists between patients, concerning their analgesic requirement and their sensibility to opioids. To improve opioid analgesia, some empiric considerations must be observed: 1) Techniques of opioid administration must allow to titrate analgesic requirement. Patient Controlled Analgesia represents a real improvement and should be developed. 2) Occurrence of side effects must be avoided. The combination of different analgesics must be prescribed systematically, if there is no contraindication. 3) Opoid side effects must be appropriately treated, in order to improve the quality of analgesia. These simple measures require regular evaluation of opioid analgesia, and treatment of the side effects.

[吗啡衍生物的最佳使用]。
术后期间,阿片类药物治疗的效果在患者之间存在差异。事实上,患者之间存在着极大的差异,关于他们的镇痛需求和他们对阿片类药物的敏感性。为了改善阿片类药物镇痛,必须注意以下几点:1)阿片类药物给药技术必须允许滴定止痛需求。病人自控镇痛是一个真正的进步,应该发展。2)必须避免副作用的发生。如果无禁忌症,必须系统地开具不同镇痛药的联合处方。3)阿片副作用必须适当处理,以提高镇痛质量。这些简单的措施需要定期评估阿片类镇痛和治疗副作用。
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