减少心脏手术患者的阿片类药物使用——术前、术中和重症监护策略
Reducing Opioid Use in Patients Undergoing Cardiac Surgery - Preoperative, Intraoperative, and Critical Care Strategies.
作者信息
Ochroch Jason, Usman Asad, Kiefer Jesse, Pulton Danielle, Shah Ro, Grosh Taras, Patel Saumil, Vernick William, Gutsche Jacob T, Raiten Jesse
机构信息
Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
出版信息
J Cardiothorac Vasc Anesth. 2021 Jul;35(7):2155-2165. doi: 10.1053/j.jvca.2020.09.103. Epub 2020 Sep 15.
Abstract
Patients undergoing cardiothoracic surgery are exposed to opioids in the operating room and intensive care unit and after hospital discharge. Opportunities exist to reduce perioperative opioid use at all stages of care and include alternative oral and intravenous medications, novel intraoperative regional anesthetic techniques, and postoperative opioid-sparing sedative and analgesic strategies. In this review, currently used and investigational strategies to reduce the opioid burden for cardiothoracic surgical patients are explored.
摘要
接受心胸外科手术的患者在手术室、重症监护病房以及出院后都会接触到阿片类药物。在护理的各个阶段都有机会减少围手术期阿片类药物的使用，包括替代口服和静脉用药、新型术中区域麻醉技术以及术后减少阿片类药物用量的镇静和镇痛策略。在这篇综述中，探讨了目前用于减轻心胸外科手术患者阿片类药物负担的策略以及正在研究的相关策略。
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