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首页> 外文期刊>Current opinion in anaesthesiology >Opioid free anesthesia: feasible?
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Opioid free anesthesia: feasible?

机译：阿片类药物麻醉：可行的？

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Purpose of review The present review aims to address the feasibility of opioid free anesthesia (OFA). The use of opioids to provide adequate perioperative pain management has been a central practice of anesthesia, and only recently has been challenged. Understanding the goals and challenges of OFA is essential as the approach to intraoperative analgesia and postsurgical management of pain has shifted in response to the opioid epidemic in the United States. Recent findings OFA is an opioid sparing technique, which focuses on multimodal or balanced analgesia, relying on nonopioid adjuncts and regional anesthesia. Enhanced recovery after surgery protocols, often under the auspices of a perioperative pain service, can help guide and promote opioid reduced and OFA, without negatively impacting perioperative pain management or recovery. The feasibility of OFA is evident. However, there are limitations of this approach that warrant discussion including the potential for adverse drug interactions with multimodal analgesics, the need for providers trained in regional anesthesia, and the management of pain expectations. Additionally, minimizing opioid use perioperatively also requires a change in current prescribing practices. Monitors that can reliably quantify nociception would be helpful in the titration of these analgesics and enable anesthesiologists to achieve the goal in providing personalized perioperative medicine.
机译：审查目的目前的审查旨在解决阿片类药物自由麻醉（OFA）的可行性。阿片类药物提供足够的围手术期疼痛管理是麻醉的核心实践，最近才受到挑战。了解OFA的目标和挑战是必不可少的，因为术中镇痛的方法和疼痛的后勤管理已经反应美国阿片类化疫情。最近的发现是一种阿片类药物制备技术，其侧重于多模式或平衡镇痛，依赖于非磷毒性辅助和区域麻醉。在手术方案后的增强恢复，通常在围手术期止痛药的主持下，可以帮助引导和促进阿片类药物，而不会对围手术期疼痛管理或恢复产生负面影响。 OFA的可行性是显而易见的。然而，这种方法存在局限性，保证讨论包括对多式镇痛药的不利药物相互作用的可能性，对区域麻醉培训的提供者的需求以及疼痛预期的管理。此外，最小化阿片类药物使用围手术用还需要改变当前的处方实践。可以可靠地定量Nocieption的监测器将有助于滴定这些镇痛药并使麻醉学家能够实现提供个性化围手术期的目标。

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