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Situational Awareness of Opioid Consumption: The Missing Link to Reducing Dependence After Surgery?
Anesthesia & Analgesia ( IF 5.7 ) Pub Date : 2022-09-01
Engelman, Daniel T., Crisafi, Cheryl, Hodle, Taylor, Stiles, John, Nathanson, Brian H., Zarbock, Alexander, Grant, Michael C.

A tool for collecting and analyzing morphine milligram equivalents (MMEs) can be used to overcome barriers to situational awareness around opioid utilization in the setting of multimodal pain management. Our software application (App) has facilitated data collection, analysis, and benchmarking in a manner that is not logistically feasible using manual methods. Real-time postoperative tracking of MME over the course of an episode of care can be prohibitively labor-intensive, and teams must have practical strategies to overcome this obstacle. In view of the link between the magnitude of opioid prescriptions at discharge and persistent opioid use after cardiac surgery, we believe that improving situational awareness among the patient care team is a vital first step in reducing opioid dependence after cardiac surgery.

中文翻译:

阿片类药物消费的情境意识:减少手术后依赖的缺失环节?

一种用于收集和分析吗啡毫克当量 (MME) 的工具可用于克服在多模式疼痛管理环境中围绕阿片类药物使用的情境意识障碍。我们的软件应用程序 (App) 以一种使用手动方法在逻辑上不可行的方式促进了数据收集、分析和基准测试。在护理过程中对 MME 进行实时术后跟踪可能是劳动密集型的,团队必须制定切实可行的策略来克服这一障碍。鉴于出院时阿片类药物处方量与心脏手术后阿片类药物持续使用之间的联系,我们认为提高患者护理团队的情境意识是减少心脏手术后阿片类药物依赖的重要第一步。
更新日期:2022-08-25
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