Background

Little information is available to predict which patients require opioid analgesia following cutaneous surgery. When opioids are indicated, information regarding the optimal opioid agent selection and dosage is lacking.

Objective

To make recommendations for opioid prescription after cutaneous surgery.

Methods

A PubMed literature search was conducted to review the available literature. Recommendations are presented on the basis of available evidence and the opinion of the authors.

Results

Most patients undergoing cutaneous surgery do not require opioid analgesia. For those who do, the duration of pain warranting opioid analgesia is generally less than 36 hours. Opioid refill requests warrant a follow-up visit to ascertain the cause of ongoing pain after excisional procedures.

Limitations

The recommendations are not based on prospective randomized trials.

Conclusions

The presented recommendations for opioid prescription practice are derived from available evidence, recommendations, and expert opinion.

中文翻译：

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阿片类药物处方可用于皮肤手术后的急性术后疼痛

背景

几乎没有信息可预测皮肤手术后哪些患者需要阿片类药物镇痛。当指示阿片类药物时，缺乏有关最佳阿片类药物选择和剂量的信息。

客观的

为皮肤手术后的阿片类药物处方提供建议。

方法

进行PubMed文献检索以审查可用文献。根据现有证据和作者的意见提出建议。

结果

大多数接受皮肤手术的患者不需要阿片类药物镇痛。对于那些这样做的人，需要阿片类镇痛的疼痛持续时间通常少于36小时。阿片类药物补充剂要求进行随访，以确定切除手术后持续疼痛的原因。

局限性

这些建议并非基于前瞻性随机试验。

结论

所提出的阿片类药物处方建议是从现有证据，建议和专家意见中得出的。