Comparing opioid free general anesthesia to traditional balanced general anesthesia regarding achievement of enhanced recovery in laparoscopic bariatric surgeries

Background Opioids have historically been a first-line therapy for surgical pain control. They were considered optimum and the mainstay of balanced anesthesia, but recently, concerns about their side effects have been raised. The concept of opioid free anesthesia (OFA) was introduced to provide a sa...

Full description

Saved in:
Bibliographic Details
Published in:Ain-Shams journal of anesthesiology 2022-03, Vol.14 (1), p.1-7, Article 24
Main Authors: Soudi, Abdallah M., Hammad, Raafat Abdelazim, ElShafie, Mohamed Anwar, Ahmed, Ibrahim Mohammed Al Sayed, Alhadidy, Mohamed A.
Format: Article
Language:English
Subjects:
Bariatric surgeries
Critical Care Medicine
Dexmedetomidine
Intensive
Ketamine
Medicine
Medicine & Public Health
Opioid-free anesthesia
Original Article
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Opioids have historically been a first-line therapy for surgical pain control. They were considered optimum and the mainstay of balanced anesthesia, but recently, concerns about their side effects have been raised. The concept of opioid free anesthesia (OFA) was introduced to provide a safer alternative that would provide benefits as well as enhance recovery after surgery. Results Sixty patients were enrolled in the study, 30 patients in each group. The two groups, TBA and OFA, were comparable in demographic data (age, sex, body mass index (BMI), lean body weight (LBW)) and duration of surgery. The TBA group showed a statistically significant reduction in the time needed for extubation ( P value 0.018) and reaching an Aldrete score of 9 ( P value 0.02). There was a significant decrease in pain scores, and nalbuphine consumption in the OFA group that extended to 24 h post-operative. Conclusions OFA has a better profile than TBA with regard to post-operative pain score and opioid consumption post-operative, but they have a relative increase in time to extubation and time to reach an Aldrete score of 9.
ISSN:2090-925X
2090-925X
DOI:10.1186/s42077-022-00218-1