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[德国麻醉医师专业协会与德国外科医师专业协会关于外科手术患者术后疼痛治疗组织的协议(2019年修订版)]

[Agreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)].

作者信息

Freys S M, Erlenwein J, Koppert W, Meißner W, Pogatzki-Zahn E, Schwenk W, Simanski C

机构信息

Chirurgische Klinik, DIAKO Ev. Diakonie-Krankenhaus Bremen gemeinnützige GmbH, Gröpelinger Heerstr. 406-408, 28239, Bremen, Deutschland.

Klinik für Anästhesiologie, GF Schmerzmedizin, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.

出版信息

Unfallchirurg. 2019 Aug;122(8):650-653. doi: 10.1007/s00113-019-0701-1.

DOI:10.1007/s00113-019-0701-1
PMID:31297551
Abstract

The treatment of any causal, procedure-specific and/or concomitant acute pain is an essential quality feature in any surgical subspecialty. An interdisciplinary and interprofessional pain therapy aims for an immediate improvement of the patients' quality of life, a reduction of the risk of postoperative morbidity and mortality in the medium term, prevention of any pain chronification in the long run as well as a reduction of hospitalization and sick leave. The "Agreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy" exists since 1992. In view of the continuously developing scientific evidence, updated guideline recommendations and interprofessionally designed treatment pathways, these agreements have been adapted to the current requirements and structural conditions of the German healthcare system. Thus, both aforementioned professional associations promote an up to date version of an "Agreement for the Organization of Pain Therapy for Surgical Patients", a precise recommendation and a manual for the acting partners in order to realize the abovementioned goals.

摘要

在任何外科亚专业中,对任何病因性、特定手术相关及/或伴随的急性疼痛进行治疗都是一项基本的质量指标。跨学科和跨专业的疼痛治疗旨在立即改善患者的生活质量,在中期降低术后发病和死亡风险,长期预防任何疼痛慢性化,以及减少住院时间和病假。德国麻醉医师专业协会和德国外科医师专业协会关于术后疼痛治疗组织的协议自1992年起就已存在。鉴于科学证据不断发展、指南建议不断更新以及跨专业设计的治疗路径,这些协议已根据德国医疗保健系统的当前要求和结构条件进行了调整。因此,上述两个专业协会推广了一份最新版本的“外科患者疼痛治疗组织协议”,为执行伙伴提供精确的建议和手册,以实现上述目标。

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[Agreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)].[德国麻醉医师专业协会与德国外科医师专业协会关于外科手术患者术后疼痛治疗组织的协议(2019年修订版)]
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Development of evidence-based recommendations for procedure-specific pain management: PROSPECT methodology.制定基于证据的特定手术疼痛管理推荐:PROSPECT 方法。
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[Interdisciplinary position paper "Perioperative pain management"].[跨学科立场文件《围手术期疼痛管理》]
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[Agreement of the Professional Society of German Anesthetists and the Professional Society of German Surgeons on organization of postoperative pain therapy].[德国麻醉医师专业协会与德国外科医师专业协会关于术后疼痛治疗组织的协议]
Chirurg. 1992 Dec;63(12):suppl 232-4.

本文引用的文献

1
Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council.术后疼痛管理:美国疼痛学会、美国区域麻醉与疼痛医学学会以及美国麻醉医师协会区域麻醉委员会、执行委员会和行政委员会的临床实践指南
J Pain. 2016 Feb;17(2):131-57. doi: 10.1016/j.jpain.2015.12.008.
2
[Guideline: "Treatment of acute perioperative and posttraumatic pain". Updating from the S2- to the S3-level: a preliminary report].[指南:“围手术期急性和创伤后疼痛的治疗”。从S2级更新至S3级:初步报告]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jul-Aug;41(7-8):470-2. doi: 10.1055/s-2006-949507.
3
[Agreement of the Professional Society of German Anesthetists and the Professional Society of German Surgeons on organization of postoperative pain therapy].[德国麻醉医师专业协会与德国外科医师专业协会关于术后疼痛治疗组织的协议]
Chirurg. 1992 Dec;63(12):suppl 232-4.