精神薬の手術前管理への影響
Nezih Sertöz1, Selin Tanyeri Kayahan2, Özen Önen Sertöz3
1Department of Anesthesiology and Reanimation, Ege University Medical Faculty, İzmir, Türkiye.
Minerva anestesiologica
|August 28, 2025
まとめ
手術中に精神薬の投与は 極めて重要です 大抵の抗うつ薬,抗精神病薬,抗不安薬は継続できますが,MAOIや刺激薬のような他の薬には個別的な計画が必要です.
科学分野:
- 麻酔科
- 薬理学について
- 精神科
背景:
- 精神薬は広く使用されており,麻酔剤との潜在的な相互作用のために,手術前ケアにリスクがあります.
- これらの薬の有効な管理は,手術中のおよび手術後の患者の安全のために不可欠です.
研究 の 目的:
- 術後の期間の精神薬の管理に関する現在の勧告をレビューする.
- 一般的な精神薬と麻酔剤の潜在的薬物相互作用について議論する.
主な方法:
- PubMed/MEDLINEとScopusのデータベースを使用して,包括的な文献検索が行われました.
- 術後の精神薬管理に関するレビュー記事は,物語の合成のために選択されました.
主要な成果:
- 選択的セロトニン再吸収阻害剤,セロトニン・ノルアピネフリン再吸収阻害剤,トリサイクル抗うつ剤,非典型抗うつ剤,抗精神病薬,抗性気分安定剤,ベンゾジアゼピンなどの治療は一般的には推奨されます.
- モノアミン酸化酵素阻害剤と精神刺激剤は,患者の状態と潜在的な薬物相互作用に基づいて個別化された管理を必要とします.
- 大手手術の72時間前にリチウム投与を中止することが推奨されます.
結論:
- 最適な手術前心理療法薬の管理のために,学際的なケースベースの評価が推奨されます.
- 麻酔医,手術チーム,そして精神保健の専門家との緊密な協力は 患者の安全と成果のために不可欠です.
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