Haemodynamic and analgesic control in a perioperative opioid-free approach to bariatric surgery – A case report

Sá, Ana Veiga de; Cavaleiro, Carla; Campos, M.

doi:10.4103/ija.ija_620_19

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…For practical reasons, a clear distinction should be made between anesthesia without intraoperative opioids and opioid-free postoperative analgesia. Articles reporting the complete elimination of opioids both during and after bariatric surgery [ 29 , 30 ] are based on single case reports and not on routine, reliable practice. In the OFA concept, it is crucial to distinguish between pain and nociception.…”

Section: Resultsmentioning

confidence: 99%

Opioid-Free Anesthesia in Bariatric Surgery: Is It the One and Only? A Comprehensive Review of the Current Literature

Mieszczański,

Kołacz,

Trzebicki

2024

Healthcare

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Opioid-free anesthesia (OFA) is a heterogeneous group of general anesthesia techniques in which the intraoperative use of opioids is eliminated. This strategy aims to decrease the risk of complications and improve the patient’s safety and comfort. Such potential advantages are particularly beneficial for selected groups of patients, among them obese patients undergoing laparoscopic bariatric surgery. Opioids have been traditionally used as an element of balanced anesthesia, and replacing them requires using a combination of coanalgesics and various types of local and regional anesthesia, which also have their side effects, limitations, and potential disadvantages. Moreover, despite the growing amount of evidence, the empirical data on the superiority of OFA compared to standard anesthesia with multimodal analgesia are contradictory, and potential benefits in many studies are being questioned. Additionally, little is known about the long-term sequelae of such a strategy. Considering the above-mentioned issues, this study aims to present the potential benefits, risks, and difficulties of implementing OFA in bariatric surgery, considering the current state of knowledge and literature.

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Section: Resultsmentioning

confidence: 99%

Opioid-Free Anesthesia in Bariatric Surgery: Is It the One and Only? A Comprehensive Review of the Current Literature

Mieszczański,

Kołacz,

Trzebicki

2024

Healthcare

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“…[ 19 ] Strict quality vigilance exists for the manuscripts submitted to the IJA, and as a result, the COVID manuscripts have been associated with quite a high rejection rate of nearly 84% [ Figure 1 ]; nevertheless, a variety of COVID-19 related manuscripts got published in the previous issues of the IJA. [ 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ]…”

Section: Necessary Measures To Protect the Quality Of Covid Researchmentioning

confidence: 99%

Research in COVID times—Innovations, revolutions and contentions

Mehdiratta¹,

Bajwa

Kurdi

et al. 2021

Indian J Anaesth

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“…Increasing the dose of opioids is associated with adverse effects such as nausea, vomiting, pruritus and sedation. [ 2 ] Neuraxial analgesia has an edge over systemic opioids that it avoids systemic side-effects and postoperative analgesia can be prolonged. [ 3 ] Central neuraxial techniques have their own set of complications – hypotension, headache, dislodgement of catheter and nerve damage.…”

Section: Introductionmentioning

confidence: 99%

Peripheral nerve stimulator guided erector spinae plane block for post-operative analgesia after total abdominal hysterectomies: A feasibility study

Prasad¹,

Rani²,

Jain³

et al. 2021

Indian J Anaesth

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Background and Aims: The pain following total abdominal hysterectomy (TAH), a very commonly performed gynaecological surgery, is usually taken care of by various opioids, non-opioids, regional and peripheral nerve blocks. Erector spinae plane block (ESPB) under ultrasound guidance is a relatively new approach for postoperative analgesia in thoracic and abdominal surgeries. Ultrasound availability and expertise to use it is a limitation at times. The primary aim of this study was to determine the analgesic efficacy of ESPB using peripheral nerve stimulation (PNS) technique in patients undergoing TAH. Methods: A total of 60 American Society of Anesthesiologists physical status I and II female patients were posted for abdominal hysterectomy after obtaining ethical committee clearance in a tertiary care centre. Group I (n = 30) received spinal anaesthesia, whereas Group II (n = 30) received ESPB under peripheral nerve stimulator (PNS) guidance with 20 mL of 0.375% ropivacaine before spinal anaesthesia. Post-operative pain intensity reported using the Visual Analogue Scale (VAS) was considered as the primary outcome. The haemodynamic variables, total duration before the first rescue analgesia, total consumption of tramadol, level of satisfaction regarding analgesia and any complications were considered as secondary outcomes. The data were recorded in an excel sheet, and analysis was performed using the Statistical Package for the Social Sciences version 23.0. Results: VAS score was significantly lower ( P < 0.001) in Group II at 0, 1, 2, 3, 4, 6, 12, 18 and 24 h post-operatively. The total dose of rescue analgesia was significantly reduced in the ESPB group. Conclusion: PNS-guided ESPB is effective in relieving pain in patients undergoing TAH.

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Haemodynamic and analgesic control in a perioperative opioid-free approach to bariatric surgery – A case report

Cited by 9 publications

References 14 publications

Opioid-Free Anesthesia in Bariatric Surgery: Is It the One and Only? A Comprehensive Review of the Current Literature

Opioid-Free Anesthesia in Bariatric Surgery: Is It the One and Only? A Comprehensive Review of the Current Literature

Research in COVID times—Innovations, revolutions and contentions

Peripheral nerve stimulator guided erector spinae plane block for post-operative analgesia after total abdominal hysterectomies: A feasibility study

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