Autor: |
Sean Coeckelenbergh, Jean-Pierre Estebe |
Jazyk: |
English<br />Spanish; Castilian<br />Portuguese |
Rok vydání: |
2021 |
Předmět: |
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Zdroj: |
Revista Brasileira de Anestesiologia, Vol 70, Iss 6, Pp 678-681 (2021) |
Druh dokumentu: |
article |
ISSN: |
1806-907X |
DOI: |
10.1016/j.bjane.2020.07.010 |
Popis: |
Abstract Background: Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. Case report: We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient’s nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids. Conclusion: Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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