作者
David M Dickerson,Edward R. Mariano,Joseph W Szokol,Michael Harned,Randall M Clark,Jeffrey T Mueller,Ashley M Shilling,Mercy A Udoji,S Bobby Mukkamala,Lisa Doan,Karla E K Wyatt,Jason M Schwalb,Nabil M Elkassabany,Jean D Eloy,Stacy L Beck,Lisa Wiechmann,Franklin Chiao,Steven G Halle,Deepak G Krishnan,John D Cramer,Wael Ali Sakr Esa,Iyabo O. Muse,Jaime Baratta,Richard W. Rosenquist,Padma Gulur,Shalini Shah,Lynn Kohan,Jennifer Robles,Eric S. Schwenk,Brian F S Allen,Stephen Yang,Josef G Hadeed,Gary Schwartz,Michael J Englesbe,Michael Sprintz,Kenneth L Urish,Ashley Walton,Lauren Keith,Asokumar Buvanendran
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.