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整形外科医生在整体关节整形术后所感知和实际的阿片类药物处方之间的差异
Tiffany N Bridges1, Johnlevi S Lazaro, Dillon Clancy
1From the Jefferson Health New Jersey, Department of Orthopaedic Surgery (Dr. Bridges and Dr. Lazaro), Stratford, NJ; the Inspira Health, Department of Orthopaedic Surgery (Dr. Clancy and Dr. Ford), Vineland, NJ; Rowan University, College of Business (Dr. Pontes), Glassboro, NJ; and the Division of Orthopaedic Surgery (Dr. McMillan), Virtua Orthopaedics, Burlington, NJ.
整形外科医生在关节置换手术后显著过度处方阿片类药物. 辅助治疗,如脂质体布皮瓦卡因和神经阻塞可以减少阿片类药物处方,突出需要标准化疼痛管理协议.
科学领域:
- 整形外科手术 整形外科手术
- 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:
- 整体关节整形术后的阿片类药物处方标准化是医疗保健的一个关键目标.
- 了解被认为和实际的阿片类药物处方之间的差异至关重要.
研究的目的:
- 将外科医生认为的阿片类药物释放处方与实际处方进行比较.
- 调查手术前辅助治疗对阿片类药物使用的影响.
主要方法:
- 对被认为是阿片类药物释放处方和外科手术期间的协议进行了调查.
- 从机构数据库中收集实际的阿片类药物处方.
- 将所有阿片类药物处方转换为吗啡毫克相当量 (MME).
主要成果:
- 外科医生平均开出超过预期的594.2个MME.
- 脂质组布皮瓦卡因减少了597个MMEs,并减少了阿片类药物处方.
- 阴茎神经阻塞和冷神经溶解也降低了MME.
结论:
- 外科医生大大超过了他们预期的阿片类药物释放量.
- 辅助疗法在减少阿片类药物处方方面显示出显著的潜力.
- 标准化处方实践对于阿片类药物管理至关重要.
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