在腹部移植后的术后疼痛管理
Boris Tufegdzic1, Clara Lobo, Arun Kumar
1Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.
Current opinion in anaesthesiology
|June 6, 2024
概括
在腹部器官移植后的术后疼痛管理缺乏标准化的协议. 目前的证据不支持确定的止痛方法,强调需要更多的疼痛控制策略研究.
科学领域:
- 麻醉学和疼痛管理
- 移植医学 移植医学
背景情况:
- 手术后的疼痛是固体器官移植恢复的一个重大挑战.
- 有效的疼痛管理对于患者的治疗结果和治疗坚持至关重要.
研究的目的:
- 审查当前关于腹部固体器官移植手术后疼痛管理的建议.
- 识别现有疼痛管理策略中的知识差距和争议.
主要方法:
- 对当前实践和证据的文献综述.
- 对术后干预和管理策略的分析.
- 讨论标准化与中心特定方法的讨论.
主要成果:
- 有各种各样的外科手术期间干预措施,但管理在各中心并没有标准化.
- 外围和神经轴阻使用,但缺乏一致的应用.
- 建议采用个性化,跨学科的方法,与手术后增强恢复 (ERAS) 准则保持一致.
结论:
- 腹部器官移植后的最佳疼痛管理方案尚未确定.
- 目前的科学证据不支持一种特定的止痛方法.
- 需要高质量的随机对照试验来指导未来的实践.
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