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标准化的电子订单集减少了在紧急普通外科手术中住院患者的阿片类药物使用
Adam Timothy Lucy1, Angela Danielle Sickels1, Elise Aucoin Dasinger2
1UAB Department of Surgery, 1808 7th Ave S, BDB 505, Birmingham, AL, 35233, USA.
American journal of surgery
|April 6, 2025
概括
标准化疼痛管理协议显著减少了在紧急整体外科 (EGS) 患者的阿片类药物使用. 这种方法保持了稳定的疼痛评分,同时降低了被服用的吗啡毫克相当量 (MME).
科学领域:
- 手术护理 手术护理
- 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:
- 优化外科护理需要有效的疼痛管理与有限的阿片类药物使用.
- 紧急通用外科 (EGS) 患者是脆弱的,并且经常被排除在增强的康复途径之外.
- 对EGS患者进行了标准化疼痛控制方案的研究.
研究的目的:
- 为了评估标准化疼痛控制订单对EGS中阿片类药物使用的影响.
- 评估协议实施后阿片类药物总剂量和疼痛评分的变化.
主要方法:
- 一个跨专业的阿片类药物协议被整合到入院订单集中.
- 从2019年1月到2023年6月,监测了口服和静脉吗啡毫克相当量 (MME).
- 实施前和后的数据被用于主要结果 (总MME,每剂量MME) 和次要结果 (疼痛评分,配方趋势) 的比较.
主要成果:
- 在所有给药途径中,观察到每名患者总MME和每剂量平均MME的显著和持续下降.
- 订购较低的MME药物增加,同时增加了多模式止痛方案.
- 在整个研究期间,疼痛得分保持稳定.
结论:
- 标准化疼痛管理协议有效地减少了EGS患者在医院中的阿片类药物使用.
- 实施的协议在降低阿片类药物管理方面表现出持续的有效性.
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