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Different protocols used today to achieve total opioid-free general anesthesia without locoregional blocks.
Journal article

Different protocols used today to achieve total opioid-free general anesthesia without locoregional blocks.

  • Mauermann E University Hospital Basel, Department for Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, Spitalstrasse 21, 4031 Basel, Switzerland; University Hospital Ghent, Department of Anesthesiology and Perioperative Medicine, Building K12-C 2nd Floor, De Pintelaan 185, B-9000, Ghent, Belgium.
  • Ruppen W University Hospital Basel, Department for Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, Spitalstrasse 21, 4031 Basel, Switzerland.
  • Bandschapp O University Hospital Basel, Department for Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, Spitalstrasse 21, 4031 Basel, Switzerland. Electronic address: oliver.bandschapp@usb.ch.
  • 2018-05-10
Published in:
  • Best practice & research. Clinical anaesthesiology. - 2017
analgesia
analgesics, non-narcotic
analgesics, opioid
bariatric surgery
dexmedetomidine
hyperalgesia
multimodal treatment
pain
perioperative period
Analgesics, Opioid
Anesthesia, General
Anesthetics, Local
Animals
Combined Modality Therapy
Dexmedetomidine
Humans
Pain, Postoperative
English With increasing awareness of both short- and long-term problems associated with liberal perioperative opioid administration, the need for routinely and clinically feasible alternatives is greater than ever. Opioid-free anesthesia-previously reserved for bariatric surgery-is receiving increasing attention in mainstream anesthesia. In this review, we present the truly multimodal concept of opioid-free anesthesia, which circumvents a number of opioid-related problems. For a concrete clinical perspective, we present in depth our opioid-free protocol for bariatric surgery. However, clinicians must be aware of potential problems related to opioid-free anesthesia.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/246833
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