美国阿片类药物危机期间基于证据的围手术期阿片类药物节约技术。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI:10.1097/MOO.0000000000000902

Chloe Warinner, Lois F Parker, Fred Shapiro, Nate Jowett

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引用次数: 0

摘要

审查目的:目前美国的阿片类流行病是由于医生和外科医生为应对制药公司寻求从阿片类药物销售中获利的欺骗性和非法营销活动而过量开阿片类药物造成的。外科医生有道德义务采用循证的阿片类镇痛方案来管理围手术期疼痛。最近的发现:最近的证据强烈支持在围手术期疼痛管理中使用非甾体抗炎药，大量研究表明不会增加术后出血或肾损伤的风险。摘要:我们提出了一种基于证据的方法来减少阿片类药物的围手术期疼痛管理，包括我们中心用于接受游离皮瓣面部再生手术的患者的多模式镇痛指南。

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Evidence-based perioperative opioid-sparing techniques during the United States opioid crisis.

Purpose of review: The current United States opioid epidemic resulted from the overprescribing of opioids by physicians and surgeons in response to deceptive and unlawful marketing campaigns by pharmaceutical companies seeking to profit from opioid sales. Surgeons have a moral obligation to employ evidence-based opioid-sparing analgesia protocols for management of perioperative pain.

Recent findings: Recent evidence strongly supports the use of NSAIDs in perioperative pain management, with large studies demonstrating no increased risk of postoperative hemorrhage or renal insult.

Summary: We present an evidence-based approach for opioid-sparing perioperative pain management, including multimodal analgesia guidelines used at our center for patients undergoing free flap facial reanimation procedures.

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.