在鼻整形中尽量减少麻醉剂的使用:更新的叙述审查和协议.
Madison Mai-Lan Cheung1, Anil Shah2,3
1College of Medicine at Rockford, University of Illinois Chicago, Rockford, IL 61107, USA.
Life (Basel, Switzerland)
|October 26, 2024
概括
这项研究详细介绍了用于鼻美术的阿片类药物节约方案,该方案结合了乙氨基,切莱科西布, gabapentin, dexmedetomidine,利多卡因和布皮瓦卡因,以最大限度地减少阿片类药物的使用并增强疼痛管理.
科学领域:
- 麻醉学 麻醉学
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 阿片类止痛药是手术后疼痛的标准,但具有成等风险.
- 减少在手术中的阿片类药物消费是一个日益增长的趋势,然而,鼻整形手术的特定协议正在发展.
- 本文改进了现有的阿片类药物节约方案,使用最新的证据进行鼻整形.
研究的目的:
- 开发和详细介绍一项基于证据的阿片类药物节约性疼痛管理方案,用于鼻整形.
- 总结有效的止痛剂,以减少在手术疼痛中的阿片类药物需求.
- 提供基于止痛药的最佳时间管理的结构化方案.
主要方法:
- 在PubMed的文献综述中,使用了诸如"鼻美术"和"阿片类药物节约"等术语.
- 鉴定和总结具有降低阿片类药物潜力的止痛药.
- 编制基于手术前,手术内和手术后的多模式疼痛管理协议.
主要成果:
- 推的手术前药物:口服乙氨基,切莱科西布和 gabapentin.
- 推的手术内药物:静脉注射德克斯梅德托米丁,利多卡因和布皮瓦卡因的神经阻塞剂.
- 推的术后药物:口服乙氨基和赛莱科西布.
结论:
- 多模式止痛方法可以有效地减少在鼻整形中使用阿片类药物.
- 仔细选择药物,考虑副作用和禁忌至关重要.
- 拟议的协议提供了一个结构化的框架,用于在鼻美术中缓解阿片类药物的疼痛管理.
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