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关于预防成年手术患者阿片类药物相关伤害的国际多学科共识声明 2020

2020-10-06 Anaesthesia . 2020 Oct 7. doi: 10.1111/anae.15262

该国际多学科共识声明旨在为成人安全地围手术期使用阿片类药物提供平衡的指导。一个国际医疗保健专家小组评估了与术后阿片类药物相关伤害有关的文献,包括术后持续使用阿片类药物。阿片类药物引起的通气障碍;非医疗

中文标题:

关于预防成年手术患者阿片类药物相关伤害的国际多学科共识声明 2020

英文标题:

An international multidisciplinary consensus statement on the prevention of opioid-related harm in adult surgical patients

发布机构:

发布日期:

2020-10-06

简要介绍:

该国际多学科共识声明旨在为成人安全地围手术期使用阿片类药物提供平衡的指导。一个国际医疗保健专家小组评估了与术后阿片类药物相关伤害有关的文献,包括术后持续使用阿片类药物。阿片类药物引起的通气障碍;非医疗类阿片用途;阿片类药物的转移和依赖性;并在处方阿片类药物的影响下驾驶。减少伤害的建议策略包括对术前持续使用阿片类药物的风险进行术前评估;使用对患者功能的评估而非仅凭一维疼痛评分来指导镇痛的充分性;避免长效(调释和透皮贴剂)阿片类药物制剂和联合镇痛药;限制出院时处方的药片数量;提供弃用的建议;避免自动装药;安全处置未使用的药物;减少阿片类药物转移的风险;以及对医疗保健专业人员,患者和护理人员进行更好的教育。该共识声明为更好地开处方提供了框架,可以帮助降低成年人术后与阿​​片类药物相关伤害的风险。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1003439, encodeId=e663100343969, content=学习学习 , beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef975177145, createdName=146ebbd3m07暂无昵称, createdTime=Wed Jul 28 21:12:23 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974506, encodeId=8f9b9e4506b4, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 22:09:27 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971368, encodeId=20289e1368f5, content=去**尽管很热,但是在心血管麻醉的作用还是很重要的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6f5514832, createdName=ms7000001973134435, createdTime=Sun Jun 06 20:06:39 CST 2021, time=2021-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968111, encodeId=d17a96811161, content=太棒了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210601/37aba592e33e4fd9929e9499117ced47/9817f8e370ac4345b14d09dac5df06ea.jpg, createdBy=abbe5506745, createdName=ms7000002109668420, createdTime=Mon May 24 10:46:27 CST 2021, time=2021-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=905507, encodeId=ec7d90550e09, content=学习 , beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=19855442007, createdName=象象, createdTime=Sun Dec 06 21:20:02 CST 2020, time=2020-12-06, status=1, ipAttribution=)]
    2021-07-28 146ebbd3m07暂无昵称

    学习学习

    0

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    2021-06-17 麻无赦

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1003439, encodeId=e663100343969, content=学习学习 , beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef975177145, createdName=146ebbd3m07暂无昵称, createdTime=Wed Jul 28 21:12:23 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974506, encodeId=8f9b9e4506b4, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 22:09:27 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971368, encodeId=20289e1368f5, content=去**尽管很热,但是在心血管麻醉的作用还是很重要的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6f5514832, createdName=ms7000001973134435, createdTime=Sun Jun 06 20:06:39 CST 2021, time=2021-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968111, encodeId=d17a96811161, content=太棒了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210601/37aba592e33e4fd9929e9499117ced47/9817f8e370ac4345b14d09dac5df06ea.jpg, createdBy=abbe5506745, createdName=ms7000002109668420, createdTime=Mon May 24 10:46:27 CST 2021, time=2021-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=905507, encodeId=ec7d90550e09, content=学习 , beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=19855442007, createdName=象象, createdTime=Sun Dec 06 21:20:02 CST 2020, time=2020-12-06, status=1, ipAttribution=)]
    2021-06-06 ms7000001973134435

    去**尽管很热,但是在心血管麻醉的作用还是很重要的

    0

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    2021-05-24 ms7000002109668420

    太棒了

    0

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    2020-12-06 象象

    学习

    0

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