...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Anesthesia and Analgesia: Journal of the International Anesthesia Research Society >American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy
【24h】

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy

机译：美国社会加强复苏和围手术期初级倡议联合思考术前术后术前管理术前术前疗法治疗

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Enhanced recovery pathways have quickly become part of the standard of care for patients undergoing elective surgery, especially in North America and Europe. One of the central tenets of this multidisciplinary approach is the use of multimodal analgesia with opioid-sparing and even opioid-free anesthesia and analgesia. However, the current state is a historically high use of opioids for both appropriate and inappropriate reasons, and patients with chronic opioid use before their surgery represent a common, often difficult-to-manage population for the enhanced recovery providers and health care team at large. Furthermore, limited evidence and few proven successful protocols exist to guide providers caring for these at-risk patients throughout their elective surgical experience. Therefore, the fourth Perioperative Quality Initiative brought together an international team of multidisciplinary experts, including anesthesiologists, nurse anesthetists, surgeons, pain specialists, neurologists, nurses, and other experts with the objective of providing consensus recommendations. Specifically, the goal of this consensus document is to minimize opioid-related complications by providing expert-based consensus recommendations that reflect the strength of the medical evidence regarding: (1) the definition, categorization, and risk stratification of patients receiving opioids before surgery; (2) optimal perioperative treatment strategies for patients receiving preoperative opioids; and (3) optimal discharge and continuity of care management practices for patients receiving opioids preoperatively. The overarching theme of this document is to provide health care providers with guidance to reduce potentially avoidable opioid-related complications including opioid dependence (both physical and behavioral), disability, and death. Enhanced recovery programs attempt to incorporate best practices into pathways of care. By presenting the available evidence for perioperative management of patients on opioids, this consensus panel hopes to encourage further development of pathways specific to this high-risk group to mitigate the often unintentional iatrogenic and untoward effects of opioids and to improve perioperative outcomes.
机译：增强的恢复途径迅速成为接受选修手术的患者的护理标准的一部分，特别是在北美和欧洲。这种多学科方法的中央原则之一是使用多模式镇痛与阿片类药物备受脱脂，甚至无阿片类药物麻醉和镇痛。然而，目前的国家是历史上高使用适当的阿片类药物，并且患有慢性阿片类药物在手术前使用的患者代表普通的，常常难以管理的难以管理的恢复提供者和医疗保健团队。此外，存在有限的证据和少数经过验证的成功协议，以指导提供商在整个选修外科经验中照顾这些风险患者。因此，第四届围闭的质量倡议将一支多学科专家团队汇集在一起​​，包括麻醉师，护士麻醉师，外科医生，痛苦专家，神经根学家，护士等专家，目的是提供共识建议。具体而言，这一共识文件的目标是通过提供反映医疗证据强度的专家的共识建议，尽量减少对阿片类药物相关的并发症：（1）在手术前接受阿片类药物的定义，分类和风险分层; （2）术前阿片类药物患者的最佳围手术期治疗策略; （3）术前接受阿片类药物的患者的护理管理实践的最佳放电和连续性。本文件的总体主题是提供有指导的医疗保健提供者，以减少潜在的可避免的表述相关并发症，包括阿片类药物（身体和行为），残疾和死亡。增强的恢复计划试图将最佳实践纳入护理路径。通过展示对阿片类药物患者围手术期管理的可用证据，这一共识小组希望鼓励对该高风险组特异的途径进一步发展，以减轻阿片类药物的经常无意的理性和不良影响，并改善围手术期结果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号