[Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report]. / Antinocicepção intravenosa sem opioides orientada pelo Índice de Analgesia/Nocicepção: relato de caso.
Braz J Anesthesiol
; 70(6): 678-681, 2020.
Article
in Pt
| MEDLINE
| ID: mdl-33279229
ABSTRACT
BACKGROUND:
Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. CASE REPORT We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient's nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids.CONCLUSION:
Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urinary Incontinence
/
Vesicovaginal Fistula
/
Precision Medicine
/
Nociception
/
Anesthesia, Inhalation
/
Anesthesia, Intravenous
Type of study:
Etiology_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
Pt
Journal:
Braz J Anesthesiol
Year:
2020
Document type:
Article