Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Reg Anesth Pain Med. 2022 Feb;47(2):118-127. doi: 10.1136/rapm-2021-103083. Epub 2021 Sep 22.
The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public-private partnership which led to the publication of its report in 2019. The report emphasized the need for individualized, multimodal, and multidisciplinary approaches to pain management that decrease the over-reliance on opioids, increase access to care, and promote widespread education on pain and substance use disorders. The Task Force specifically called on specialty organizations to work together to develop evidence-based guidelines. In response to this report's recommendations, a consortium of 14 professional healthcare societies committed to a 2-year project to advance pain management for the surgical patient and improve opioid safety. The modified Delphi process included two rounds of electronic voting and culminated in a live virtual event in February 2021, during which seven common guiding principles were established for acute perioperative pain management. These principles should help to inform local action and future development of clinical practice recommendations.
美国卫生与公众服务部疼痛管理最佳实践跨机构工作组发起了公私合作伙伴关系，促成了其在 2019 年发布的报告。该报告强调需要采取个体化、多模式和多学科的疼痛管理方法，减少对阿片类药物的过度依赖，增加获得治疗的机会，并广泛宣传疼痛和物质使用障碍方面的知识。工作组特别呼吁专业组织共同努力，制定基于证据的指南。为响应这份报告的建议，一个由 14 个专业医疗保健协会组成的联盟承诺开展为期两年的项目，以推进手术患者的疼痛管理并提高阿片类药物安全性。修改后的德尔菲法包括两轮电子投票，并于 2021 年 2 月举行了一次现场虚拟活动，会上确定了急性围手术期疼痛管理的七项共同指导原则。这些原则应有助于为当地行动和未来的临床实践建议提供信息。
