De Andres Jose, Fabregat-Cid Gustavo, Asensio-Samper Juan Marcos, Sanchis-Lopez Nerea, Moliner-Velazquez Susana
Multidisciplinary Pain Management Department. Department of Anesthesiology Critical Care & Pain Management, General University Hospital, Valencia, Spain.
Pain Manag. 2015;5(3):167-73. doi: 10.2217/pmt.15.13.
The use of opioids for both benign and cancer-related chronic pain has increased exponentially over the last few years. For this reason, increasing numbers of such patients are presenting for surgery. It is known that continuous use of opioids is associated with an increase in postoperative analgesic requirements. This is believed to be mediated by the development of tolerance and opioid-induced hyperalgesia. Patients treated with opioids have special needs in the perioperative setting and it is the anesthesiologist's responsibility to manage these needs optimally. The aim of the present paper is to briefly orient the reader in the management of postoperative pain in patients chronically treated with licit opioids.
在过去几年中，阿片类药物用于良性和癌症相关慢性疼痛的情况呈指数级增长。因此，越来越多的此类患者前来接受手术。众所周知，持续使用阿片类药物与术后镇痛需求增加有关。这被认为是由耐受性的发展和阿片类药物诱导的痛觉过敏介导的。接受阿片类药物治疗的患者在围手术期有特殊需求，麻醉医生有责任对这些需求进行最佳管理。本文的目的是简要指导读者如何管理长期接受合法阿片类药物治疗患者的术后疼痛。
