Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant
Despite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) co...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=4;spage=450;epage=453;aulast=Rebollar |
| _version_ | 1818718565075779584 |
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| author | Ramon Eizaga Rebollar Elena Borreiros Rodríguez Irene Delgado Olmos Luis Miguel Torres Morera |
| author_facet | Ramon Eizaga Rebollar Elena Borreiros Rodríguez Irene Delgado Olmos Luis Miguel Torres Morera |
| author_sort | Ramon Eizaga Rebollar |
| collection | DOAJ |
| description | Despite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) combined with transversus abdominis plane (TAP) block with Dexmedetomidine (DEX). Perioperative opioids were entirely avoided, and intraoperative anesthetics and postoperative analgesic were considerably reduced. The infant showed cardiorespiratory stability and optimal analgesia during the uneventful procedure and the postoperative period. We consider OFA and TAP block with DEX a safe and effective anesthetic combination for high-risk infants. |
| first_indexed | 2024-12-17T19:53:04Z |
| format | Article |
| id | doaj.art-0f5c4a7714b84f6db8e85ddac8be1125 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-17T19:53:04Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-0f5c4a7714b84f6db8e85ddac8be11252022-12-21T21:34:40ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2021-01-0115445045310.4103/sja.sja_319_21Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infantRamon Eizaga RebollarElena Borreiros RodríguezIrene Delgado OlmosLuis Miguel Torres MoreraDespite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) combined with transversus abdominis plane (TAP) block with Dexmedetomidine (DEX). Perioperative opioids were entirely avoided, and intraoperative anesthetics and postoperative analgesic were considerably reduced. The infant showed cardiorespiratory stability and optimal analgesia during the uneventful procedure and the postoperative period. We consider OFA and TAP block with DEX a safe and effective anesthetic combination for high-risk infants.http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=4;spage=450;epage=453;aulast=Rebollaranesthesia adjuvants; child; dexmedetomidine hydrochloride; high-risk infant; opioid-free anesthesia; tap block |
| spellingShingle | Ramon Eizaga Rebollar Elena Borreiros Rodríguez Irene Delgado Olmos Luis Miguel Torres Morera Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant Saudi Journal of Anaesthesia anesthesia adjuvants; child; dexmedetomidine hydrochloride; high-risk infant; opioid-free anesthesia; tap block |
| title | Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant |
| title_full | Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant |
| title_fullStr | Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant |
| title_full_unstemmed | Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant |
| title_short | Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant |
| title_sort | opioid free anesthesia with interfascial dexmedetomidine in a high risk infant |
| topic | anesthesia adjuvants; child; dexmedetomidine hydrochloride; high-risk infant; opioid-free anesthesia; tap block |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=4;spage=450;epage=453;aulast=Rebollar |
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