在常见的儿科外科手术程序后,阿片类药物的使用,处置和父母的满意度
Raphael H Parrado1, Kunal J Patel2, Daniel P Allen2
1Division of Pediatric Surgery, Department of Surgery, Cincinnati Children's Hospital, Charleston, SC, USA.
The American surgeon
|August 9, 2023
概括
儿科手术患者经常获得过多的阿片类药物处方,许多家庭储存剩余的药物. 这凸显了需要更好的处方指南,以减少阿片类药物浪费和潜在的滥用.
科学领域:
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 医疗保健提供者的阿片类药物处方实践对于类似的外科手术程序存在显著的变化.
- 需要以患者为中心的方法来制定更合适的处方指南.
研究的目的:
- 分析儿科手术后阿片类药物处方实践的变化.
- 为医疗保健提供者制定更合适的阿片类药物处方指南.
主要方法:
- 手术后30天进行了电话调查,以评估患者报告的阿片类药物使用情况.
- 在两年内从189名接受常见门诊手术的儿科患者中收集的数据.
- 调查包括有关处方麻醉剂,使用量和家庭报告的疼痛控制的详细信息.
主要成果:
- 83.5%的患者接受了阿片类药物处方;平均使用量为4剂,有显著的变化.
- 19.6%的家庭认为他们得到了太多的止痛药.
- 只有13.6%的家庭有过多的阿片类药物报告了适当的处置方法.
结论:
- 对适当的儿科手术后疼痛控制的理解不足仍然存在,导致过多的阿片类药物处方.
- 大多数儿科手术患者都会带着未使用的阿片类药物出院,许多家庭保留了它们.
- 进一步的研究和教育对于优化儿科手术中阿片类药物使用和降低风险至关重要.
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