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

Autor: Dickerson DM; Department of Anesthesiology, Critical Care and Pain Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA ddickerson@northshore.org.; Department of Anesthesia & Critical Care, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA., Mariano ER; Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, California, USA.; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA., Szokol JW; Department of Anesthesiology, University of Southern California Keck School of Medicine, Los Angeles, California, USA., Harned M; Department of Anesthesiology, Division of Pain Medicine, University of Kentucky, Lexington, Kentucky, USA., Clark RM; American Society of Anesthesiologists, Park Ridge, Illinois, USA., Mueller JT; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Arizona, Phoenix, Arizona, USA., Shilling AM; Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia, USA., Udoji MA; Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia, USA.; Atlanta VA Health Care System, Decatur, Georgia, USA., Mukkamala SB; American Medical Association, Chicago, Illinois, USA., Doan L; Department of Anesthesiology, PerioperativeCare and Pain Medicine, New York University School of Medicine, New York, New York, USA., Wyatt KEK; Department of Anesthesiology, Perioperativeand Pain Medicine, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA., Schwalb JM; Department of Neurosurgery, Henry Ford Medical Group, Detroit, Michigan, USA., Elkassabany NM; Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia, USA., Eloy JD; Department of Anesthesiology, Rutgers New Jersey Medical School, Newark, New Jersey, USA., Beck SL; Department of Obstetrics, Gynecology, and Reproductive Sciences, Maternal Fetal Medicine, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA., Wiechmann L; Department of Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, New York, USA., Chiao F; Department of Anesthesiology, Westchester Medical Center, Valhalla, New York, USA., Halle SG; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA., Krishnan DG; Department of Oral & Maxillofacial Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.; Department of Oral & Maxillofacial Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Cramer JD; Department of Otolaryngology - Head and Neck Surgery, Wayne State University, Detroit, Michigan, USA., Ali Sakr Esa W; Department of Pain Management, Cleveland Clinic, Cleveland, Ohio, USA., Muse IO; Westchester Medical Center, New York Medical College, Valhalla, New York, USA.; Department of Anesthesiology, Westchester Medical Center Health Network, Valhalla, New York, USA., Baratta J; Department of Anesthesiology and Perioperative Medicine, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA., Rosenquist R; Department of Pain Management, Cleveland Clinic, Cleveland, Ohio, USA., Gulur P; Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA., Shah S; Department of Anesthesiology and Perioperative Care, University of California Irvine, Orange, California, USA., Kohan L; Department of Anesthesiology, University of Virginia, Charlottesville, Virginia, USA., Robles J; Department of Urology Division of Endourology and Stone Disease, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Surgical Service, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee, USA., Schwenk ES; Department of Anesthesiology and Perioperative Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Allen BFS; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Yang S; Department of Surgery, Division of Thoracic Surgery, Johns Hopkins Medical Institutions Campus, Baltimore, Maryland, USA., Hadeed JG; Hadeed Plastic Surgery, Beverly Hills, California, USA., Schwartz G; AABP Integrative Pain Care, Melville, New York, USA.; Maimonides Medical Center, Brooklyn, New York, USA., Englesbe MJ; Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA., Sprintz M; Sprintz Center for Pain and Recovery, Shenandoah, Texas, USA., Urish KL; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Walton A; American Society of Anesthesiologists, Washington, District of Columbia, USA., Keith L; American Society of Anesthesiologists, Park Ridge, Illinois, USA., Buvanendran A; Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA.
Jazyk: angličtina
Zdroj: Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2024 Oct 08; Vol. 49 (10), pp. 716-724. Date of Electronic Publication: 2024 Oct 08.
DOI: 10.1136/rapm-2023-104435
Abstrakt: 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.
Competing Interests: Competing interests: DMD receives research support from Abbott and SPR therapeutics; speaker and/or consulting fees from Abbott, SPR Therapeutics, Vertos, Pfizer, Myovant, Nalu, and Biotronik; NME receives consulting fees for legal case review and from Pacira; SS receives consulting fees from SPR Therapeutics, Masimo Corp, and Allergan. GS receives consulting fees from Pacira and holds minor stake equity (stock options) in Dorsal Health; MS receives consulting fees and research support from Saluda Medical, consulting fees from Patch technologies, Witness, etc and iVitalie, and holds stock and/or receives consulting fees from Cellarian, Spark Biomedical, Nanomedical Systems, Full Spectrum Healthcare Management, MedAnswers, Reveliance solutions, and Assurance Med Management
(© American Society of Regional Anesthesia & Pain Medicine 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE