Department of Surgery, University of Michigan, Ann Arbor, MI.
Michigan Opioid Prescribing Engagement Network, Ann Arbor, MI.
Ann Surg. 2018 Jul;268(1):32-34. doi: 10.1097/SLA.0000000000002713.
: With increased focus on the potential harms of surgical opioid prescribing, surgeons should be cognizant of the risk of opioid-related adverse events in their patients, including overdose. Risk factors for overdose may be more prevalent than surgeons think, and include high current opioid use, previous or existing substance use disorder, history of overdose, or certain medical comorbidities. The first step to protecting surgical patients from opioid overdose is adequate screening for risk factors; appropriate patient counseling and prudent prescribing practices can then help protect at-risk patients.
: 随着人们越来越关注手术中开具阿片类药物的潜在危害，外科医生应该意识到其患者发生阿片类药物相关不良事件（包括用药过量）的风险。用药过量的风险因素可能比外科医生想象的更为普遍，包括当前阿片类药物用量高、既往或现有物质使用障碍、用药过量史或某些合并医学病症。保护外科手术患者免受阿片类药物用药过量的第一步是充分筛选风险因素；然后，适当的患者咨询和谨慎的处方实践可以帮助保护高危患者。
