Assistant Editor-in-Chief.
Editor-in-Chief.
Arthroscopy. 2020 Jun;36(6):1490. doi: 10.1016/j.arthro.2020.04.013.
Opioid abuse results in poor pain control, poor outcomes, and addiction. Clinical recommendations to manage pain include identifying the problem, considering multimodal anesthesia, avoiding overprescribing, acknowledging that minimizing opioid use is not equivalent to undertreating pain, minimizing preoperative opioid use, managing patient expectations, and continuing to investigate outcomes of pain management while limiting opioid prescriptions or forgoing opioids altogether. Authors are directed to new Recommendations for Pain Management Research to highlight critical research parameters and standardize outcome reporting.
阿片类药物滥用导致疼痛控制不佳、预后不良和成瘾。临床推荐的疼痛管理方法包括:确定问题,考虑多模式麻醉,避免过度处方,认识到减少阿片类药物使用并不等同于治疗不足,尽量减少术前阿片类药物使用,管理患者预期,并在限制阿片类药物处方或完全避免使用阿片类药物的同时,继续调查疼痛管理的结果。作者被引导关注新的疼痛管理研究建议,以突出关键研究参数并标准化结果报告。