Opioid-free anesthesia for open radical cystectomy in morbid obesity.
Rev Esp Anestesiol Reanim (Engl Ed)
; 69(7): 433-436, 2022.
Article
de En
| MEDLINE
| ID: mdl-35869004
ABSTRACT
Opioid-free anaesthesia shows evidence about its efectivity and security, even though its risks and benefits are not well defined. Neither are the patient profile or sort of surgery where it could be superior to the conventional opioid-based anaesthetic technique. Aggressive and/or long-lasting surgeries set out several queries on this technique regarding sudden hemodynamic changes, as it does not produce sympatholysis through µ receptor and there is modest experience in this technique. A morbidly obese patient received open radical cystectomy with Bricker-type urinary diversion using infraumbilical incision under OFA protocol, maintaining an adequate hemodynamic stability and excellent analgesia in postoperatory care without using any intraoperative opioids. Opioid-free anaesthesia technique is developing its evidence. However, it is necessary to keep on researching its clinical applications, different drug combinations and solutions to its expected complications.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Dérivation urinaire
/
Obésité morbide
/
Anesthésie
Type d'étude:
Guideline
Limites:
Humans
Langue:
En
Journal:
Rev Esp Anestesiol Reanim (Engl Ed)
Année:
2022
Type de document:
Article