择期手术中“疼痛清除”应成为常规操作吗？
Should "Pain Clearance" Be Routine for Elective Surgery?
作者信息
Dunham Alexandra M, Humbyrd Casey Jo
机构信息
Orthopedic surgery resident at Johns Hopkins University in Baltimore, Maryland.
Associate professor of orthopedic surgery and chief of the Foot and Ankle Division at the Johns Hopkins University School of Medicine in Baltimore, Maryland.
出版信息
AMA J Ethics. 2020 Aug 1;22(1):E664-667. doi: 10.1001/amajethics.2020.664.
Abstract
For elective surgery, preoperative planning for patients with comorbidities tends to address risk stratification, cardiac clearance, and anticoagulation. This commentary suggests that chronic opioid use should be normalized as a comorbidity requiring "pain clearance" prior to elective surgery. Doing so would likely enhance team communication, optimize patient care, decrease stigma, and facilitate care transitioning and long-term planning.
摘要
对于择期手术，合并症患者的术前规划往往侧重于风险分层、心脏评估及抗凝处理。本评论认为，长期使用阿片类药物应作为一种合并症进行规范管理，在择期手术前需进行“疼痛评估”。这样做可能会加强团队沟通、优化患者护理、减少污名化，并促进护理过渡和长期规划。
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