Autor: |
Zhouya Xue, Cong Yan, Yi Liu, Nan Yang, Geqing Zhang, Weisheng Qian, Bin Qian, Xiang Liu |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
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Zdroj: |
BMC Surgery, Vol 24, Iss 1, Pp 1-10 (2024) |
Druh dokumentu: |
article |
ISSN: |
1471-2482 |
DOI: |
10.1186/s12893-024-02518-9 |
Popis: |
Abstract Background OFA (Opioid-free anesthesia) has the potential to reduce the occurrence of opioid-related adverse events and enhance postoperative recovery. Our research aimed to investigate whether OFA, combining esketamine and dexmedetomidine, could serve as an alternative protocol to traditional OBA (opioid-based anesthesia) in shoulder arthroscopy, particularly in terms of reducing PONV (postoperative nausea and vomiting). Methods A total of 60 patients treated with shoulder arthroscopy from September 2021 to September 2022 were recruited. Patients were randomly assigned to the OBA group (n = 30) and OFA group (n = 30), receiving propofol-remifentanil TIVA (total intravenous anesthesia) and esketamine-dexmedetomidine intravenous anesthesia, respectively. Both groups received ultrasound-guided ISBPB(interscalene brachial plexus block)for postoperative analgesia. Results The incidence of PONV on the first postoperative day in the ward (13.3% vs. 40%, P |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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