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Perioperative Opioid Management—An Opportunity to Put the Genie Back Into the Bottle
JAMA Surgery ( IF 16.9 ) Pub Date : 2018-10-01 , DOI: 10.1001/jamasurg.2018.2075
Michael A. Ashburn 1 , Lee A. Fleisher 1
Affiliation  

Opioid use increased in the United States from the early 1990s until very recently, when opioid prescribing appears to have peaked and declined slightly.1 Many institutions are working hard to put the opioid genie back in the bottle, so to speak, and the perioperative period offers a unique opportunity. The focus is on opioid stewardship, during which opioids are carefully used as part of multimodal pain care while improper and excessive opioid prescribing is avoided. This effort includes identification of patients who are at increased risk for harm associated with the use of opioids, so that care to these patients can be modified to optimize outcomes.



中文翻译:

围手术期阿片类药物治疗—将精灵重返瓶中的机会

从1990年代初期到最近,阿片类药物的使用在美国有所增加,直到最近,阿片类药物的处方量似乎达到高峰并略有下降。1可以这么说,许多机构正在努力将阿片类药物放回药瓶中,围手术期提供了独特的机会。重点放在阿片类药物的管理上,在此期间,阿片类药物应谨慎地用作多式联运疼痛护理的一部分,同时避免使用不当且过量的阿片类药物处方。这项工作包括确定与使用阿片类药物相关的伤害风险增加的患者,以便可以修改对这些患者的护理以优化结果。

更新日期:2018-10-18
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