Petloperative management of acute pain in the opioid-dependent patient

被引:144
作者
Mitra, S [1 ]
Sinatra, RS [1 ]
机构
[1] Yale Univ, Sch Med, Dept Anesthesiol, New Haven, CT 06520 USA
关键词
D O I
10.1097/00000542-200407000-00032
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Patients with opioid dependence, whether abusers or legitimate users, can pose significant and unique challenges to the anesthesiologist. This overview focuses on the clinical implications of opioid tolerance and dependency and offers guidelines for patient assessment and pain management in the perioperative setting.
引用
收藏
页码:212 / 227
页数:16
相关论文
共 110 条
[1]  
Aronoff G M, 2000, Curr Rev Pain, V4, P112
[2]   Efficacy and safety of intravenous parecoxib sodium in relieving acute postoperative pain following gynecologic laparotomy surgery [J].
Barton, SF ;
Langeland, FF ;
Snabes, MC ;
LeComte, D ;
Kuss, ME ;
Dhadda, SS ;
Hubbard, RC .
ANESTHESIOLOGY, 2002, 97 (02) :306-314
[3]   INSIGHTS INTO THE DEVELOPMENT OF OPIOID TOLERANCE [J].
BASBAUM, AI .
PAIN, 1995, 61 (03) :349-352
[4]   Deletion of the M5 muscarinic acetylcholine receptor attenuates morphine reinforcement and withdrawal but not morphine analgesia [J].
Basile, AS ;
Fedorova, I ;
Zapata, A ;
Liu, XG ;
Shippenberg, T ;
Duttaroy, A ;
Yamada, M ;
Wess, J .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2002, 99 (17) :11452-11457
[5]   Australian trends in opioid prescribing for chronic non-cancer pain, 1986-1996 [J].
Bell, JR .
MEDICAL JOURNAL OF AUSTRALIA, 1997, 167 (01) :26-29
[6]   The substance-abusing parturient: implications for analgesia and anaesthesia management [J].
Birnbach, DJ ;
Stein, DJ .
BAILLIERES CLINICAL OBSTETRICS AND GYNAECOLOGY, 1998, 12 (03) :443-460
[7]   μ-Opioid receptor desensitization by β-arrestin-2 determines morphine tolerance but not dependence [J].
Bohn, LM ;
Gainetdinov, RR ;
Lin, FT ;
Lefkowitz, RJ ;
Caron, MG .
NATURE, 2000, 408 (6813) :720-723
[8]   INTRAOPERATIVE AND POSTOPERATIVE ANESTHETIC MANAGEMENT OF AN OPIOID ADDICT UNDERGOING CESAREAN-SECTION [J].
BOYLE, RK .
ANAESTHESIA AND INTENSIVE CARE, 1991, 19 (02) :276-279
[9]   TRANSDERMAL FENTANYL FOR POSTOPERATIVE PAIN MANAGEMENT - A DOUBLE-BLIND PLACEBO STUDY [J].
CAPLAN, RA ;
READY, LB ;
ODEN, RV ;
MATSEN, FA ;
NESSLY, ML ;
OLSSON, GL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (07) :1036-1039
[10]   Prescription opiate abuse in chronic pain patients: Clinical criteria, incidence, and predictors [J].
Chabal, C ;
Erjavec, MK ;
Jacobson, L ;
Mariano, A ;
Chaney, E .
CLINICAL JOURNAL OF PAIN, 1997, 13 (02) :150-155