Is an opioid-free anaesthesia possible without using alpha-2 agonists?
Opioid-free anaesthesia (OFA) is an anaesthetic technique where non-opioid drugs are used in the intraoperative period. It can be successful without using alpha-2 agonists, which are main drugs used in this multimodal anaesthesia. We are presenting seven different cases where OFA was used in differe...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=5;spage=428;epage=431;aulast=Toleska |
| _version_ | 1818933933073498112 |
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| author | Marija Toleska Aleksandar Dimitrovski |
| author_facet | Marija Toleska Aleksandar Dimitrovski |
| author_sort | Marija Toleska |
| collection | DOAJ |
| description | Opioid-free anaesthesia (OFA) is an anaesthetic technique where non-opioid drugs are used in the intraoperative period. It can be successful without using alpha-2 agonists, which are main drugs used in this multimodal anaesthesia. We are presenting seven different cases where OFA was used in different abdominal surgeries (laparoscopic cholecystectomy, colon cancer operation, and laparoscopic inguinal hernia repair) alone or in a combination with epidural anaesthesia and peripheral nerve block. Prior induction to general anaesthesia all patients received dexamethasone and paracetamol. Induction of general anaesthesia consisted of giving midazolam, lignocaine, propofol, ketamine, and rocuronium. After tracheal intubation anaesthesia was maintained with sevoflurane and continuous infusion with lignocaine, magnesium sulphate, and ketamine (in some patients). At the end of the surgery, all patients received metamizole. The postoperative pain scores were reduced in most of the patients without giving opioids. |
| first_indexed | 2024-12-20T04:56:15Z |
| format | Article |
| id | doaj.art-3ed6566c00e64d49a785210470b76c26 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-20T04:56:15Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-3ed6566c00e64d49a785210470b76c262022-12-21T19:52:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172020-01-0164542843110.4103/ija.IJA_664_19Is an opioid-free anaesthesia possible without using alpha-2 agonists?Marija ToleskaAleksandar DimitrovskiOpioid-free anaesthesia (OFA) is an anaesthetic technique where non-opioid drugs are used in the intraoperative period. It can be successful without using alpha-2 agonists, which are main drugs used in this multimodal anaesthesia. We are presenting seven different cases where OFA was used in different abdominal surgeries (laparoscopic cholecystectomy, colon cancer operation, and laparoscopic inguinal hernia repair) alone or in a combination with epidural anaesthesia and peripheral nerve block. Prior induction to general anaesthesia all patients received dexamethasone and paracetamol. Induction of general anaesthesia consisted of giving midazolam, lignocaine, propofol, ketamine, and rocuronium. After tracheal intubation anaesthesia was maintained with sevoflurane and continuous infusion with lignocaine, magnesium sulphate, and ketamine (in some patients). At the end of the surgery, all patients received metamizole. The postoperative pain scores were reduced in most of the patients without giving opioids.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=5;spage=428;epage=431;aulast=Toleskaabdominal surgeryanalgesiaopioid free anaesthesiapostoperative pain |
| spellingShingle | Marija Toleska Aleksandar Dimitrovski Is an opioid-free anaesthesia possible without using alpha-2 agonists? Indian Journal of Anaesthesia abdominal surgery analgesia opioid free anaesthesia postoperative pain |
| title | Is an opioid-free anaesthesia possible without using alpha-2 agonists? |
| title_full | Is an opioid-free anaesthesia possible without using alpha-2 agonists? |
| title_fullStr | Is an opioid-free anaesthesia possible without using alpha-2 agonists? |
| title_full_unstemmed | Is an opioid-free anaesthesia possible without using alpha-2 agonists? |
| title_short | Is an opioid-free anaesthesia possible without using alpha-2 agonists? |
| title_sort | is an opioid free anaesthesia possible without using alpha 2 agonists |
| topic | abdominal surgery analgesia opioid free anaesthesia postoperative pain |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=5;spage=428;epage=431;aulast=Toleska |
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