恢复过渡性止痛的疼痛管理策略:叙述性审查
Kevin J Murphy1, Brian O'Donnell1
1Department of Anaesthesiology and Intensive Care Medicine, Cork University Hospital, T12DC4A Cork, Ireland.
Journal of clinical medicine
|February 13, 2025
概括
周围神经阻塞 (PNBs) 可以导致反弹疼痛 (RP),这是门诊外科手术中常见的问题. 术前教育和持续的神经阻塞等策略可能有助于控制这种疼痛.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 外周神经阻塞 (PNBs) 有效地减少术后阿片类药物消费.
- 反弹疼痛 (RP) 是PNB后的常见并发症,需要积极的管理策略.
- 尽管PNB的好处,但RP可以显著影响患者的体验和康复.
研究的目的:
- 系统地审查外围神经阻塞后反弹疼痛的发生率,影响因素和管理策略.
- 评估RP对整体阿片类药物使用,患者康复和满意度的影响.
- 为临床实践提供关于RP预防和治疗的信息.
主要方法:
- 在主要电子数据库 (PubMed,EMBASE,Cochrane图书馆) 进行系统的文献搜索.
- 包括研究区域麻醉后反弹疼痛的研究.
- 对患者,手术和麻醉因素的分析,这些因素有助于RP.
主要成果:
- 反弹疼痛 (RP) 在门诊外科手术患者中非常普遍.
- 患者,手术和麻醉因素影响RP的发生.
- 术前教育,多式止痛疗法,连续神经阻塞和IV德克萨米他显示出缓解RP的潜力.
- 一般来说,RP不会影响整体阿片类药物使用,康复或患者满意度.
- 大多数经历RP的患者将来会再次选择PNB.
结论:
- 反弹疼痛是一种常见但可控的外围神经阻塞并发症.
- 多模式方法和患者教育是缓解RP的关键.
- 尽管有RP,外围神经阻断仍然是术后疼痛管理的宝贵工具.
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