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首页> 外文期刊>Current opinion in anaesthesiology >Perioperative management of chronic pain patients with opioid dependency.
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Perioperative management of chronic pain patients with opioid dependency.

机译：患有阿片类药物依赖的慢性疼痛患者的围手术期管理。

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摘要

PURPOSE OF REVIEW: In this article, we discuss the perioperative anesthesia and pain management of patients with chronic pain receiving chronic opioid administration. In our practice we may expect to be confronted with opioid-dependent patients in routine anesthesia practice and should acquire specific knowledge and skills to effectively manage the perioperative and acute pain management issues that arise. RECENT FINDINGS: The number of patients treated chronically with opioids has increased steadily over the past decade; currently about 10% of all chronic-pain patients are treated with opioids. As these patients are no longer confined to terminally ill cancer patients, growing numbers of these patients are facing surgical interventions. SUMMARY: In our clinical practice, we should employ multimodal pain management therapy by using an around-the-clock regimen of nonsteroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, acetaminophen, and regional blockade. Dosing regimens should be individualized to optimize efficacy while minimizing the risk of adverse events.
机译：审查目的：在本文中，我们讨论接受慢性阿片类药物治疗的慢性疼痛患者的围手术期麻醉和疼痛管理。在我们的实践中，我们可能希望在常规麻醉实践中遇到依赖阿片类药物的患者，并应掌握特定的知识和技能，以有效地解决围手术期和急性疼痛管理方面的问题。最近的发现：在过去的十年中，长期接受阿片类药物治疗的患者数量稳步增长。目前，所有慢性疼痛患者中约有10％接受了阿片类药物治疗。由于这些患者不再局限于绝症患者，因此越来越多的患者面临外科手术。摘要：在我们的临床实践中，我们应采用全天候的非甾体类抗炎药，环氧合酶2抑制剂，对乙酰氨基酚和局部阻滞疗法，以多模式镇痛治疗。给药方案应个体化以优化疗效，同时最大程度地减少不良事件的风险。

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