手术设置与外科手术期间阿片类药物处方的相关性,用于广泛清醒的手腕道释放

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Alexander J Kammien¹, Kevin Hu¹, John Collar²

¹Yale School of Medicine, New Haven, CT, USA.

Hand (New York, N.Y.)

|April 24, 2024

概括

与手术室程序相比,基于办公室的手掌道释放 (CTR) 导致较少的阿片类药物处方和较低的吗啡毫克相当量 (MME). 这表明,对于CTR而言,在门诊环境中减少阿片类药物使用的潜力.

科学领域:

整形外科手术整形外科手术
疼痛管理疼痛管理
医疗保健服务研究医疗服务研究

背景情况:

有限的研究存在于外科设置对手术期间的阿片类药物处方对手腕道释放 (CTR) 的影响.
以前的研究集中在麻醉技术上,而不是手术的位置 (办公室与手术室).

研究的目的:

评估手术环境 (办公室与手术室) 与阿片类药物处方之间的关联,以提高清醒的CTR.
根据在哪里进行CTR来比较阿片类药物使用模式.

主要方法:

对开放CTR患者的行政索赔数据库 (PearlDiver) 的回顾性分析.
排除具有特定标准的患者 (例如,<18岁,同时进行手术,传统麻醉).
办公室和手术室队伍根据人口统计和并发症的匹配;阿片类药物处方手术前和后的特征.

主要成果:

分析了每位5713名患者的匹配队列.
与手术室CTR相比,办公室CTR的阿片类药物处方填充率 (45%对62%) 显著降低.
办公室CTR的处方也显著降低了中位数吗啡毫克相当量 (MME) (130对188).

结论:

基于办公室的CTR与减少阿片类药物处方填充和较低的MME有关.
这些发现可能反映出患者和提供者对疼痛控制和阿片类药物在各种手术环境中的使用的不同态度.
对患者和提供者因素的进一步研究可以为在不同外科环境中减少外科期间阿片类药物使用的策略提供信息.

关键词:

带道释放的释放带道综合征是什么意思办公室外科手术办公室手术在阿片类药物阿片类药物.疼痛管理疼痛管理

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