Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Can J Anaesth. 2021 Jun;68(6):876-879. doi: 10.1007/s12630-021-01943-1. Epub 2021 Feb 9.
Caffeine is used daily by 85% of United States adults and caffeine withdrawal is a major cause of perioperative headache. Studies have shown that caffeine supplementation in chronic caffeinators reduces the incidence of perioperative headache. This narrative review discusses the perioperative implications of caffeine withdrawal and outlines the benefits of and strategies of caffeine supplementation in the perioperative period. It is time to "wake up and smell the coffee" on integration of caffeine into established enhanced recovery after surgery protocols as a mechanism to consistently provide perioperative caffeine replacement.
85%的美国成年人每天都在摄入咖啡因，咖啡因戒断是围手术期头痛的主要原因。研究表明，慢性咖啡因使用者补充咖啡因可降低围手术期头痛的发生率。本综述讨论了咖啡因戒断的围手术期影响，并概述了围手术期补充咖啡因的益处和策略。现在是时候将咖啡因纳入既定的术后加速康复方案中，作为一种持续提供围手术期咖啡因替代的机制，“认识到咖啡因的重要性”了。
