From the Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia.
Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, Minnesota.
Anesth Analg. 2023 Sep 1;137(3):508-520. doi: 10.1213/ANE.0000000000006281. Epub 2023 Aug 17.
Substance use disorders (SUDs) represent a current major public health concern in the United States and around the world. Social and economic stressors secondary to the coronavirus disease 2019 (COVID-19) pandemic have likely led to an increase in SUDs around the world. This chronic, debilitating disease is a prevalent health problem, and yet many clinicians do not have adequate training or clinical experience diagnosing and treating SUDs. Anesthesiologists and other perioperative medical staff frequently encounter patients with co-occurring SUDs. By such, through increased awareness and education, physicians and other health care providers have a unique opportunity to positively impact the lives and improve the perioperative outcomes of patients with SUDs. Understanding commonly used terms, potentially effective perioperative screening tools, diagnostic criteria, basics of treatment, and the perioperative implications of SUDs is essential to providing adequate care to patients experiencing this illness.
物质使用障碍（SUDs）在美国和世界各地都是当前主要的公共卫生关注点。由于 2019 年冠状病毒病（COVID-19）大流行带来的社会和经济压力，世界各地的 SUDs 可能有所增加。这种慢性、使人虚弱的疾病是一个普遍存在的健康问题，但许多临床医生在诊断和治疗 SUDs 方面没有足够的培训或临床经验。麻醉师和其他围手术期医务人员经常遇到同时患有 SUDs 的患者。因此，通过提高认识和教育，医生和其他医疗保健提供者有独特的机会来积极影响患者的生活并改善 SUDs 患者的围手术期结局。了解常用术语、潜在有效的围手术期筛查工具、诊断标准、治疗基础知识以及 SUDs 的围手术期影响，对于为患有这种疾病的患者提供足够的护理至关重要。
