{"id":13108,"date":"2023-12-21T12:37:12","date_gmt":"2023-12-21T04:37:12","guid":{"rendered":"https:\/\/docquity.com\/?post_type=articles&#038;p=13108"},"modified":"2025-02-11T13:38:34","modified_gmt":"2025-02-11T05:38:34","slug":"tom-tat-huong-dan-ke-don-opioid-trong-giam-dau-sau-phau-thuat-tai-mui-hong-thong-thuong-cua-vien-han-lam-tai-mui-hong-va-phau-thuat-dau-mat-co-hoa-ky-2021","status":"publish","type":"articles","link":"https:\/\/docquity.com\/vi\/articles\/tom-tat-huong-dan-ke-don-opioid-trong-giam-dau-sau-phau-thuat-tai-mui-hong-thong-thuong-cua-vien-han-lam-tai-mui-hong-va-phau-thuat-dau-mat-co-hoa-ky-2021\/","title":{"rendered":"T\u00f3m t\u1eaft h\u01b0\u1edbng d\u1eabn k\u00ea \u0111\u01a1n opioid trong gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt tai m\u0169i h\u1ecdng th\u00f4ng th\u01b0\u1eddng c\u1ee7a Vi\u1ec7n h\u00e0n l\u00e2m Tai m\u0169i h\u1ecdng v\u00e0 Ph\u1eabu thu\u1eadt \u0111\u1ea7u m\u1eb7t c\u1ed5 Hoa K\u1ef3 2021"},"content":{"rendered":"\n<p>M\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t \u0111au h\u1eadu ph\u1eabu nh\u01b0 c\u00e1c t\u00e1c nh\u00e2n opioid, c\u00e1c t\u00e1c nh\u00e2n nonopioid, c\u00e1c li\u1ec7u ph\u00e1p b\u1ed5 tr\u1ee3 nh\u01b0 ch\u00e2m c\u1ee9u, ho\u1eb7c ph\u1ed1i h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c so\u1ea1n th\u1ea3o b\u1edfi Vi\u1ec7n h\u00e0n l\u00e2m Tai m\u0169i h\u1ecdng v\u00e0 Ph\u1eabu thu\u1eadt \u0111\u1ea7u m\u1eb7t c\u1ed1 Hoa K\u1ef3 (AAO \u2013 HNF) \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c khuy\u1ebfn c\u00e1o trong vi\u1ec7c ki\u1ec3m so\u00e1t \u0111au sau ph\u1eabu thu\u1eadt tai m\u0169i h\u1ecdng th\u00f4ng th\u01b0\u1eddng. H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u00e1p d\u1ee5ng cho c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb \u0111au trong v\u00f2ng 30 ng\u00e0y sau ph\u1eabu thu\u1eadt tai m\u0169i h\u1ecdng th\u00f4ng th\u01b0\u1eddng v\u00e0 t\u1eadp trung tr\u00ean c\u00e1c ch\u1ea5t ch\u1ee7 v\u1eadn th\u1ee5 th\u1ec3 opioid qua \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p thay th\u1ebf ho\u1eb7c b\u1ed5 sung cho opioid. H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u00e1p d\u1ee5ng cho c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb \u0111au m\u1ea1n t\u00ednh (k\u00e9o d\u00e0i &gt; 3 th\u00e1ng ho\u1eb7c \u0111\u00e3 qua th\u1eddi gian l\u00e0nh m\u00f4).<\/p>\n\n\n\n<p>V\u1edbi d\u1eef li\u1ec7u d\u00f9ng sai opioids \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng v\u00e0 c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa Tai m\u0169i h\u1ecdng th\u01b0\u1eddng k\u00ea \u0111\u01a1n opioid trong ch\u0103m s\u00f3c y t\u1ebf, chi\u1ebfm 10% trong t\u1ed5ng s\u1ed1 \u0111\u01a1n trong ph\u1eabu thu\u1eadt \u0111\u00e3 cho th\u1ea5y t\u1ea7m quan tr\u1ecdng c\u1ee7a chi\u1ebfn l\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111au \u0111\u00fang \u0111\u1eafn trong c\u00e1c ph\u1eabu thu\u1eadt tai m\u0169i h\u1ecdng th\u00f4ng th\u01b0\u1eddng.<\/p>\n\n\n\n<p>D\u1eef li\u1ec7u d\u00f9ng sai opioid:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trong s\u00f4 c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb \u0111au m\u1ea1n t\u00ednh:<br>+ D\u00f9ng sai: 21 \u2013 29%<br>+ L\u1ec7 thu\u1ed9c: 8 \u2013 12%<\/li>\n\n\n\n<li>10% b\u1ec7nh nh\u00e2n d\u00f9ng sai thu\u1ed1c h\u1eadu ph\u1eabu c\u1ea7n n\u1eb1m vi\u1ec7n ng\u1eafn ng\u00e0y<\/li>\n\n\n\n<li>40% b\u1ec7nh nh\u00e2n d\u00f9ng sai m\u1ee5c \u0111\u00edch c\u1ee7a thu\u1ed1c<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-d8f0041319071d04d02ba0338785b8f6.png\" alt=\"\" \/><\/figure>\n\n\n\n<p><strong>KI\u1ec2M SO\u00c1T \u0110AU<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-6544a494d59fbeff005ae8f65b51350e.png\" alt=\"\" \/><\/figure>\n\n\n\n<p>Gi\u1ea3n \u0111\u1ed3 d\u01b0\u1edbi \u0111\u00e2y t\u00f3m t\u1eaft c\u00e1c tuy\u00ean b\u1ed1 h\u00e0nh \u0111\u1ed9ng ch\u00ednh c\u1ee7a h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb gi\u00fap b\u00e1c s\u0129 ti\u1ebfp c\u1eadn nhanh trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-756d6772f84a3c45868532d63866f81d.png\" alt=\"\" \/><\/figure>\n\n\n\n<p><strong>Gi\u1ea3n \u0111\u1ed3 1.&nbsp;<\/strong>C\u00e1c tuy\u00ean b\u1ed1 h\u00e0nh \u0111\u1ed9ng ch\u00ednh trong h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-4ee12f5154e23840180c44c0587f9970.png\" alt=\"\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-9b0b1d0919eef3d9d63f85a267711ed0.png\" alt=\"\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-4c9e3d3f014bfd4ea572d5d7a231fc4a.png\" alt=\"\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-74caf7f20fffada2d691ab50f3beb91b.png\" alt=\"\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ngu\u1ed3n:<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Samantha Anne, James \u2018\u2018Whit\u2019\u2019 Mims, David E. Tunkel, Richard M. Rosenfeld, et al. Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.&nbsp;<em>Otolaryngology\u2013 Head and Neck Surgery<\/em>. 2021;164(2S):S1\u2013S42. DOI: 10.1177\/0194599821996297<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t \u0111au h\u1eadu ph\u1eabu nh\u01b0 c\u00e1c t\u00e1c nh\u00e2n opioid, c\u00e1c t\u00e1c nh\u00e2n nonopioid, c\u00e1c li\u1ec7u ph\u00e1p b\u1ed5 tr\u1ee3 nh\u01b0 ch\u00e2m c\u1ee9u, ho\u1eb7c ph\u1ed1i h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c so\u1ea1n th\u1ea3o b\u1edfi Vi\u1ec7n h\u00e0n l\u00e2m Tai m\u0169i h\u1ecdng v\u00e0 Ph\u1eabu thu\u1eadt \u0111\u1ea7u m\u1eb7t c\u1ed1 Hoa &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/docquity.com\/vi\/articles\/tom-tat-huong-dan-ke-don-opioid-trong-giam-dau-sau-phau-thuat-tai-mui-hong-thong-thuong-cua-vien-han-lam-tai-mui-hong-va-phau-thuat-dau-mat-co-hoa-ky-2021\/\"> <span class=\"screen-reader-text\">T\u00f3m t\u1eaft h\u01b0\u1edbng d\u1eabn k\u00ea \u0111\u01a1n opioid trong gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt tai m\u0169i h\u1ecdng th\u00f4ng th\u01b0\u1eddng c\u1ee7a Vi\u1ec7n h\u00e0n l\u00e2m Tai m\u0169i h\u1ecdng v\u00e0 Ph\u1eabu thu\u1eadt \u0111\u1ea7u m\u1eb7t c\u1ed5 Hoa K\u1ef3 2021<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":123,"featured_media":13110,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"articles_categories":[1370],"articles_tags":[],"articles_topics":[1437],"articles_languages":[1375],"articles_filters":[],"class_list":["post-13108","articles","type-articles","status-publish","has-post-thumbnail","hentry","articles_categories-medical-content-vi","articles_languages-vietnamese-vi"],"_links":{"self":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/13108","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles"}],"about":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/types\/articles"}],"author":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/comments?post=13108"}],"version-history":[{"count":0,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/13108\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media\/13110"}],"wp:attachment":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media?parent=13108"}],"wp:term":[{"taxonomy":"articles_categories","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_categories?post=13108"},{"taxonomy":"articles_tags","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_tags?post=13108"},{"taxonomy":"articles_topics","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_topics?post=13108"},{"taxonomy":"articles_languages","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_languages?post=13108"},{"taxonomy":"articles_filters","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_filters?post=13108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}