Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, Kentucky, USA
Balkan Med J. 2020 Aug 11;37(5):247-252. doi: 10.4274/balkanmedj.galenos.2020.2020.5.2. Epub 2020 May 14.
The opioid epidemic has emerged as a major health and social problem over the last few decades. An increasing number of patients with opioid use disorder are presenting for perioperative management. These patients are either on buprenorphine or methadone for the maintenance and treatment of opioid addiction or chronic pain. In the settings of acute pain, the optimal management of patients with opioid use disorder is challenging, and recovery can be jeopardized secondary to the unique pharmacology of these agents. The purpose of this narrative review is to summarize the existing studies on the perioperative management of patients who are using buprenorphine and methadone and provide guidance for the management of patients with opioid use disorder during the perioperative period.
在过去几十年中，阿片类药物滥用已成为一个主要的健康和社会问题。越来越多的阿片类药物使用障碍患者需要进行围手术期管理。这些患者要么接受丁丙诺啡或美沙酮维持治疗和治疗阿片类药物成瘾或慢性疼痛。在急性疼痛的情况下，阿片类药物使用障碍患者的最佳管理具有挑战性，由于这些药物的独特药理学，康复可能会受到影响。本叙述性综述的目的是总结关于使用丁丙诺啡和美沙酮的患者围手术期管理的现有研究，并为围手术期阿片类药物使用障碍患者的管理提供指导。
