优化安全的阿片类药物处方:骨科手术布普伦诺芬管理的范式转变
Patrick J Morrissey1, Matthew Quinn1, Brian Mikolasko2
1Department of Orthopedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
The Journal of arthroplasty
|June 24, 2024
概括
在接受手术的患者中继续服用布普伦诺芬,以有效管理疼痛. 这种方法,结合多模式止痛和潜在的皮肤过渡布普伦诺芬,可以改善外科手术期间的疼痛控制.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 整形外科手术 整形外科手术
背景情况:
- 阿片类药物流行和COVID-19大流行凸显了创新的疼痛管理策略的必要性.
- 布普伦诺芬是一种长效阿片类药物,具有良好的安全性和可用于缓解疼痛的可用性.
- 整形外科医生面临的挑战是,在外科手术期间管理服用布普伦诺芬的患者.
研究的目的:
- 更新骨科外科医生关于布普伦诺芬在缓解疼痛中的作用.
- 提供基于证据的指导方针,用于外科手术期间的布普伦诺芬管理.
- 为了探索经皮布伦诺芬治疗急性外科手术后疼痛.
主要方法:
- 关于布普伦诺芬在疼痛管理中的当前文献的综述.
- 开发基于证据的实践指南,用于外科手术期间使用布普伦诺芬.
- 讨论与布普伦诺芬一起使用的多模式止痛策略.
- 通过皮肤给予布普伦诺芬用于术后疼痛控制的评估.
主要成果:
- 服用布普伦诺芬的患者应在整个外科手术期间继续服用家庭剂量.
- 建议使用多模式止痛,包括区域麻醉和非阿片类药物药物.
- 通过皮肤注射的布普伦诺芬在治疗急性外科手术后疼痛方面表现有前途.
- 通过皮肤输送可以改善粘附性和疼痛控制.
结论:
- 建议在外科手术期间继续在家用布普伦诺芬剂量.
- 一种多模式的方法提高了布普伦诺芬患者的疼痛管理.
- 通过皮肤注射的布普伦诺芬在骨科中为外科手术期间的疼痛管理提供了一个有价值的选择.
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