Erlenwein Joachim, Leister Nicolas, Castello Roberto, Wirz Stefan
Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37085, Göttingen, Deutschland.
Klinik für Anästhesiologie und Operative Intensivmedizin, Medizinische Fakultät und Universitätsklinikum Köln, Universität zu Köln, Köln, Deutschland.
Ophthalmologie. 2023 Jul;120(7):701-710. doi: 10.1007/s00347-023-01888-4. Epub 2023 Jun 20.
For many years the quality of perioperative pain management in general has been repeatedly reported as inadequate and there is significant evidence to indicate that this is also true after surgical procedures in ophthalmology. The patient population in ophthalmology is quite challenging due to numerous comorbidities and a high average age resulting in numerous contraindications and organ dysfunctions and requiring special knowledge to ensure high quality acute pain management. The following overview covers basic knowledge of acute pain management, with a particular focus on analgesic approaches and the specifics of the patient population and the associated limitations in terms of analgesic and co-analgesic pharmacological options.
多年来,总体围手术期疼痛管理的质量一直被反复报道为不充分,并且有大量证据表明眼科手术术后也是如此。眼科患者群体颇具挑战性,因为存在众多合并症且平均年龄较高,导致出现大量禁忌证和器官功能障碍,需要专业知识来确保高质量的急性疼痛管理。以下概述涵盖急性疼痛管理的基础知识,特别关注镇痛方法、患者群体的特点以及在镇痛和辅助镇痛药物选择方面的相关限制。