Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report

Autor: Sean Coeckelenbergh, Jean-Pierre Estebe
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2021
Předmět:
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.
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