Narcolepsy and opioid-free anesthesia: a review and case report.

Autor: Escalona Belmonte JJ; Hospital Universitario Virgen de la Victoria, Málaga, España; Instituto de Investigación Biomédica de Málaga, IBIMA, grupo de investigación A-21, Málaga, España., Romero Molina S; Hospital Universitario Virgen de la Victoria, Málaga, España., Sepúlveda Haro E; Hospital Universitario Virgen de la Victoria, Málaga, España., Malo Manso A; Hospital Universitario Virgen de la Victoria, Málaga, España; Instituto de Investigación Biomédica de Málaga, IBIMA, grupo de investigación A-21, Málaga, España. Electronic address: alfredomalomanso@gmail.com., Guerrero Orriach JL; Hospital Universitario Virgen de la Victoria, Málaga, España; Instituto de Investigación Biomédica de Málaga, IBIMA, grupo de investigación A-21, Málaga, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2021 Mar; Vol. 68 (3), pp. 165-170. Date of Electronic Publication: 2020 Nov 05.
DOI: 10.1016/j.redar.2020.07.002
Abstrakt: Introduction: Narcolepsy is the second most common sleep disorder. It is characterised by excessive daytime sleepiness together with other symptoms such as cataplexy, sleep paralysis, and hallucinations. The pathophysiology and treatment of this disease, together with its associated syndromes, can severely interfere with anaesthesia.
Methodology: Due to the lack of quality evidence on which to base a high grade of recommendation for anaesthesia in these patients, we performed a non-systematic, narrative review of the literature in Pubmed. We used the descriptors narcolepsy, anesthesia, surgery, perioperative, opioid, obstructive, apnea and sleep both individually and with AND and OR connectors.
Conclusion: The recommendation to avoid opioids and the stability of opioid-free anaesthesia (OFA) make this approach an option to consider in these patients. We describe a case in which it was used safely.
(Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: