围手术期阿片类药物的使用和滥用。
Perioperative opioid use and misuse.
机构信息
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
NHS East of England, Fulbourn, UK and controlled drugs accountable officer, NHS East of England, Fulbourn, UK and Royal College of General Practitioners representative for dependence forming medications, NHS East of England, Fulbourn, UK.
出版信息
Clin Med (Lond). 2019 Nov;19(6):441-445. doi: 10.7861/clinmed.2019.0227.
Abstract
Prescribed opioid misuse in North America is a public health crisis, with huge social, medical and economic repercussions. Surgery is an identified driver for persistent opioid use and misuse. The UK has also seen a surge in opioid consumption per capita and it is now necessary for primary and secondary care to work together to mitigate the problem of perioperative prescribed opioid misuse.This review discusses the identified drivers for persistent opioid use following surgery and discusses the remedial actions that must be taken by all stakeholders to mitigate the UK developing its own perioperative prescribed opioid crisis.
摘要
在北美，处方阿片类药物滥用是一个公共卫生危机，其带来了巨大的社会、医疗和经济影响。手术是导致持续使用阿片类药物和滥用的一个已确定因素。英国的人均阿片类药物消耗量也出现了飙升，现在，初级和二级保健机构必须共同努力，解决围手术期处方阿片类药物滥用问题。本文讨论了手术后持续使用阿片类药物的已知驱动因素，并讨论了所有利益相关者必须采取的补救措施，以避免英国出现围手术期处方阿片类药物危机。
相似文献
1
Perioperative opioid use and misuse.
Clin Med (Lond). 2019 Nov;19(6):441-445. doi: 10.7861/clinmed.2019.0227.
2
Managing Opioid Addiction Risk in Plastic Surgery during the Perioperative Period.
Plast Reconstr Surg. 2017 Oct;140(4):613e-619e. doi: 10.1097/PRS.0000000000003742.
3
Role of the Perioperative Surgical Home in Optimizing the Perioperative Use of Opioids.
Anesth Analg. 2017 Nov;125(5):1653-1657. doi: 10.1213/ANE.0000000000002280.
4
Postoperative Analgesia in the Chronic Pain Patient.
Otolaryngol Clin North Am. 2020 Oct;53(5):843-852. doi: 10.1016/j.otc.2020.05.013. Epub 2020 Jul 20.
5
A Review of Opioid-Sparing Modalities in Perioperative Pain Management: Methods to Decrease Opioid Use Postoperatively.
Anesth Analg. 2017 Nov;125(5):1749-1760. doi: 10.1213/ANE.0000000000002497.
6
A perioperative approach to the opioid crisis.
CMAJ. 2018 Oct 1;190(39):E1151-E1152. doi: 10.1503/cmaj.180801.
7
Perioperative Pain Management for the Chronic Pain Patient With Long-Term Opioid Use.
Orthop Nurs. 2019 Mar/Apr;38(2):159-163. doi: 10.1097/NOR.0000000000000526.
8
Optimizing Pain Control During the Opioid Epidemic.
Surg Clin North Am. 2019 Oct;99(5):867-883. doi: 10.1016/j.suc.2019.06.002. Epub 2019 Jul 19.
9
American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy.
Anesth Analg. 2019 Aug;129(2):553-566. doi: 10.1213/ANE.0000000000004018.
10
Chronic Opioid Use After Surgery: Implications for Perioperative Management in the Face of the Opioid Epidemic.
Anesth Analg. 2017 Nov;125(5):1733-1740. doi: 10.1213/ANE.0000000000002458.
引用本文的文献
1
Persistent post-discharge opioid use and opioid stewardship: A single-centre retrospective cohort study.
Br J Pain. 2024 Aug 20:20494637241276106. doi: 10.1177/20494637241276106.
2
Intravenous S-ketamine's analgesic efficacy in third molar surgery. A randomized placebo-controlled double-blind clinical trial.
Br J Pain. 2024 Apr;18(2):197-208. doi: 10.1177/20494637231222327. Epub 2023 Dec 15.
3
Opioid stewardship.
BJA Educ. 2023 Oct;23(10):389-397. doi: 10.1016/j.bjae.2023.05.007. Epub 2023 Jul 21.
4
Developing expert international consensus statements for opioid-sparing analgesia using the Delphi method.
BMC Anesthesiol. 2023 Feb 27;23(1):62. doi: 10.1186/s12871-023-01995-4.
5
Opioid Prescription Following Wrist and Ankle Fracture Fixation in Scotland-Tradition Prevails.
J Clin Med. 2022 Jan 17;11(2):468. doi: 10.3390/jcm11020468.
6
Perioperative Pain Management and Opioid Stewardship: A Practical Guide.
Healthcare (Basel). 2021 Mar 16;9(3):333. doi: 10.3390/healthcare9030333.
7
Factors associated with persistent opioid use after an upper extremity fracture.
Bone Jt Open. 2021 Feb;2(2):119-124. doi: 10.1302/2633-1462.22.BJO-2020-0167.R1.
8
Acute pain management among patients with opioid maintenance therapy: specificities and difficulties identified in primary care: a qualitative study.
BMJ Open. 2021 Jan 19;11(1):e044433. doi: 10.1136/bmjopen-2020-044433.
9
Magnesium and Pain.
Nutrients. 2020 Jul 23;12(8):2184. doi: 10.3390/nu12082184.
10
Factors associated with the prescribing of high-dose opioids in primary care: a systematic review and meta-analysis.
BMC Med. 2020 Mar 30;18(1):68. doi: 10.1186/s12916-020-01528-7.
本文引用的文献
1
Post-surgical pain management: time for a paradigm shift.
Br J Anaesth. 2019 Aug;123(2):e182-e186. doi: 10.1016/j.bja.2019.05.031. Epub 2019 Jun 12.
2
Perioperative opioid analgesia-when is enough too much? A review of opioid-induced tolerance and hyperalgesia.
Lancet. 2019 Apr 13;393(10180):1558-1568. doi: 10.1016/S0140-6736(19)30430-1.
3
Transition from acute to chronic pain after surgery.
Lancet. 2019 Apr 13;393(10180):1537-1546. doi: 10.1016/S0140-6736(19)30352-6.
4
Controlled-release opioids cause harm and should be avoided in management of postoperative pain in opioid naïve patients.
Br J Anaesth. 2019 Jun;122(6):e86-e90. doi: 10.1016/j.bja.2018.09.005. Epub 2018 Oct 19.
5
Opioid prescribing trends and geographical variation in England, 1998-2018: a retrospective database study.
Lancet Psychiatry. 2019 Feb;6(2):140-150. doi: 10.1016/S2215-0366(18)30471-1. Epub 2018 Dec 20.
6
"Pain as the fifth vital sign" and dependence on the "numerical pain scale" is being abandoned in the US: Why?
Br J Anaesth. 2018 Mar;120(3):435-438. doi: 10.1016/j.bja.2017.11.098. Epub 2018 Jan 19.
7
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study.
BMJ. 2018 Jan 17;360:j5790. doi: 10.1136/bmj.j5790.
8
Overprescribing is major contributor to opioid crisis.
BMJ. 2017 Oct 19;359:j4792. doi: 10.1136/bmj.j4792.
9
Avoiding globalisation of the prescription opioid epidemic.
Lancet. 2017 Jul 29;390(10093):437-439. doi: 10.1016/S0140-6736(17)31918-9. Epub 2017 Jul 27.
10
Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015.
MMWR Morb Mortal Wkly Rep. 2017 Jul 7;66(26):697-704. doi: 10.15585/mmwr.mm6626a4.
Zotero 插件