Conti Mica Megan, Ring David, Hsu Joseph R, Mir Hassan
Instr Course Lect. 2019;68:629-638.
The opioid epidemic in the United States has changed how medicine is practiced. There are tools and resources available to help the surgeon understand pain and provide appropriate pain management. Understanding pain, setting expectations, and diagnosing underlying medical dispositions that can lead to opioid addiction should become standard practice. Understanding available tools for communication, setting appropriate expectations, and preoperative planning for postoperative pain will provide better pain control. Through physical, mental, and medicinal modalities that include both opioids and nonopioid options, a more comprehensive treatment plan can provide better pain control while minimizing opioid side effects.
美国的阿片类药物流行改变了医学实践方式。有一些工具和资源可帮助外科医生了解疼痛并提供适当的疼痛管理。了解疼痛、设定期望以及诊断可能导致阿片类药物成瘾的潜在医学状况应成为标准做法。了解可用的沟通工具、设定适当的期望以及对术后疼痛进行术前规划将实现更好的疼痛控制。通过包括阿片类药物和非阿片类药物选项在内的物理、心理和药物治疗方式，一个更全面的治疗计划可以在将阿片类药物副作用降至最低的同时实现更好的疼痛控制。
