Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder

被引：14

作者：

Dickerson, David M. ^{[1
,2
]}

Mariano, Edward R. ^{[3
,4
]}

Szokol, Joseph W. ^{[5
]}

Harned, Michael ^{[6
]}

Clark, Randall M. ^{[7
]}

Mueller, Jeffrey T. ^{[8
]}

Shilling, Ashley M. ^{[9
]}

Udoji, Mercy A. ^{[10
,11
]}

Mukkamala, S. Bobby ^{[12
]}

Doan, Lisa ^{[13
]}

Wyatt, Karla E. K. ^{[14
]}

Schwalb, Jason M. ^{[15
]}

Elkassabany, Nabil M. ^{[9
]}

Eloy, Jean D. ^{[16
]}

Beck, Stacy L. ^{[17
]}

Wiechmann, Lisa ^{[18
]}

Chiao, Franklin ^{[19
]}

Halle, Steven G. ^{[20
]}

Krishnan, Deepak G. ^{[21
,22
]}

Cramer, John D. ^{[23
]}

Ali Sakr Esa, Wael ^{[24
]}

Muse, Iyabo O. ^{[25
,26
]}

Baratta, Jaime ^{[27
]}

Rosenquist, Richard ^{[24
]}

Gulur, Padma ^{[28
]}

Shah, Shalini ^{[29
]}

Kohan, Lynn ^{[30
]}

Robles, Jennifer ^{[31
,32
]}

Schwenk, Eric S. ^{[33
]}

Allen, Brian F. S. ^{[34
]}

Yang, Stephen ^{[35
]}

Hadeed, Josef G. ^{[36
]}

Schwartz, Gary ^{[37
,38
]}

Englesbe, Michael J. ^{[39
]}

Sprintz, Michael ^{[40
]}

Urish, Kenneth L. ^{[41
]}

Walton, Ashley ^{[42
]}

Keith, Lauren ^{[7
]}

Buvanendran, Asokumar ^{[43
]}

机构：

[1] NorthShore Univ HealthSyst, Dept Anesthesiol Crit Care & Pain Med, Evanston, IL 60201 USA

[2] Univ Chicago, Dept Anesthesia & Crit Care, Pritzker Sch Med, Chicago, IL USA

[3] VA Palo Alto Hlth Care Syst, Anesthesiol & Perioperat Care Serv, Palo Alto, CA USA

[4] Stanford Univ, Dept Anesthesiol Perioperat & Pain Med, Sch Med, Stanford, CA USA

[5] Univ Southern Calif, Dept Anesthesiol, Keck Sch Med, Los Angeles, CA USA

[6] Univ Kentucky, Dept Anesthesiol, Div Pain Med, Lexington, KY USA

[7] Amer Soc Anesthesiologists, Park Ridge, IL USA

[8] Mayo Clin Arizona, Dept Anesthesiol & Perioperat Med, Phoenix, AZ USA

[9] Univ Virginia Hlth Syst, Dept Anesthesiol, Charlottesville, VA USA

[10] Emory Univ, Sch Med, Dept Anesthesiol, Atlanta, GA USA

[11] Atlanta VA Hlth Care Syst, Decatur, GA USA

[12] Amer Med Assoc, Chicago, IL USA

[13] NYU, Dept Anesthesiol Perioperat Care & Pain Med, Sch Med, New York, NY USA

[14] Texas Childrens Hosp, Baylor Coll Med, Dept Anesthesiol, Perioperativeand Pain Med, Houston, TX USA

[15] Henry Ford Med Grp, Dept Neurosurg, Detroit, MI USA

[16] Rutgers New Jersey Med Sch, Dept Anesthesiol, Newark, NJ USA

[17] Univ Pittsburgh, Med Ctr Hlth Syst, Dept Obstet Gynecol & Reprod Sci, Maternal Fetal Med, Pittsburgh, PA USA

[18] NewYork Presbyterian Columbia Univ, Dept Surg, Med Ctr, New York, NY USA

[19] Westchester Med Ctr, Dept Anesthesiol, Valhalla, NY USA

[20] Icahn Sch Med Mt Sinai, Dept Anesthesiol Perioperat & Pain Med, New York, NY USA

[21] Univ Cincinnati, Dept Oral & Maxillofacial Surg, Med Ctr, Cincinnati, OH USA

[22] Cincinnati Childrens Hosp Med Ctr, Dept Oral & Maxillofacial Surg, Cincinnati, OH USA

[23] Wayne State Univ, Dept Otolaryngol Head & Neck Surg, Detroit, MI USA

[24] Cleveland Clin, Dept Pain Management, Cleveland, OH USA

[25] Montefiore Med Ctr, Dept Anesthesiol, Bronx, NY USA

[26] Westchester Med Ctr Hlth Network, Dept Anesthesiol, Valhalla, NY USA

[27] Thomas Jefferson Univ, Dept Anesthesiol & Perioperat Med, Sidney Kimmel Med Coll, Philadelphia, PA USA

[28] Duke Univ, Dept Anesthesiol, Sch Med, Durham, NC USA

[29] Univ Calif Irvine, Dept Anesthesiol & Perioperat Care, Orange, CA USA

[30] Univ Virginia, Dept Anesthesiol, Charlottesville, VA USA

[31] Vanderbilt Univ Sch Med, Dept Urol Div Endourol & Stone Dis, Nashville, TN USA

[32] Vet Affairs Tennessee Valley Healthcare Syst, Surg Serv, Nashville, TN USA

[33] Thomas Jefferson Univ, Dept Anesthesiol & Perioperat Med, Sidney Kimmel Med Coll, Philadelphia, PA USA

[34] Vanderbilt Univ Sch Med, Dept Anesthesiol, Nashville, TN USA

[35] Johns Hopkins Med Inst Campus, Dept Surg, Div Thorac Surg, Baltimore, MD USA

[36] Hadeed Plast Surg, Beverly Hills, CA USA

[37] AABP Integrat Pain Care, Melville, NY USA

[38] Maimonides Hosp, Brooklyn, NY USA

[39] Univ Michigan, Dept Surg, Ann Arbor, MI USA

[40] Sprintz Ctr Pain & Recovery, Shenandoah, TX USA

[41] Univ Pittsburgh, Dept Orthopaed Surg, Pittsburgh, PA USA

[42] Amer Soc Anesthesiologists, Washington, DC USA

[43] Rush Univ, Dept Anesthesiol, Med Ctr, Chicago, IL USA

来源：

REGIONAL ANESTHESIA AND PAIN MEDICINE | 2024年 / 49卷 / 10期

关键词：

acute pain; analgesics; opioid; pain management; opioid-related disorders; chronic pain; CLINICAL-PRACTICE GUIDELINE; POSTOPERATIVE PAIN; MULTIMODAL ANALGESIA; REGIONAL ANESTHESIA; SURGERY; RISK; COHORT; MEDICATION; OVERDOSE; ALCOHOL;

D O I：

10.1136/rapm-2023-104435

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Significant knowledge gaps exist in the perioperative pain management of patients with a history of chronic pain, substance use disorder, and/or opioid tolerance as highlighted in the US Health and Human Services Pain Management Best Practices Inter-Agency Task Force 2019 report. The report emphasized the challenges of caring for these populations and the need for multidisciplinary care and a comprehensive approach. Such care requires stakeholder alignment across multiple specialties and care settings. With the intention of codifying this alignment into a reliable and efficient processes, a consortium of 15 professional healthcare societies was convened in a year-long modified Delphi consensus process and summit. This process produced seven guiding principles for the perioperative care of patients with chronic pain, substance use disorder, and/or preoperative opioid tolerance. These principles provide a framework and direction for future improvement in the optimization and care of 'complex' patients as they undergo surgical procedures.

引用

页码：716 / 724

页数：9

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