Department of Anaesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Anesthesiology, UZLeuven, Leuven, Belgium.
Anaesthesia. 2019 Oct;74(10):1298-1304. doi: 10.1111/anae.14776. Epub 2019 Jul 11.
Effective peri-operative pain management is a prerequisite for optimal recovery after surgery. Despite published evidence-based guidelines from several professional groups, postoperative pain management remains inadequate. The procedure-specific pain management (PROSPECT) collaboration consists of anaesthetists and surgeons with broad international representation that provide healthcare professionals with practical and evidence-based recommendations formulated in a way that facilitates clinical decision-making across all stages of the peri-operative period on a procedure-specific basis. The aim of this manuscript is to provide a detailed description of the current PROSPECT methodology with the intention of providing the rigour and transparency in which procedure-specific pain management recommendations are developed. The high methodological standards of the recommendations should improve the quality of clinical practice.
有效的围手术期疼痛管理是术后最佳康复的前提。尽管有几个专业团体发布了基于证据的指南,但术后疼痛管理仍然不足。特定手术的疼痛管理(PROSPECT)合作组织由麻醉师和外科医生组成,他们在国际上具有广泛的代表性,为医疗保健专业人员提供实用且基于证据的建议,这些建议的制定方式有助于在围手术期的所有阶段根据具体手术进行临床决策。本文的目的是详细描述当前的 PROSPECT 方法,旨在提供制定特定手术疼痛管理建议的严谨性和透明度。建议的高标准方法学应该会提高临床实践的质量。