Should opioid free anesthesia be integrated in enhanced recovery protocols?
(2018) Acta Anaesthesiologica Belgica — Vol. 69, n° 2, p. 77-83 (2018)
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- © Acta Anæsthesiologica Belgica, 2018, 69, n° 2Abstract : These last decades, Enhanced Recovery after Surgery (ERAS) protocols have grown in popularity; they recommend multimodal analgesia in order to decrease opioid requirements during and after surgery, which leads to less opioid side effects. As consequences, postoperative complications and length of hospital stay are reduced. Opioid free anesthesia seeks after the same goal as ERAS protocols. There exist several studies reporting its benefits, and sometimes its superiority to conventional opioid anesthesia, including less postoperative analgesic requirements, and decreased incidence of postoperative nausea and vomiting. Working daily with opioids as anesthesiologists, we are curious to know if ERAS protocols should integrate opioid free anesthesia. The present review summarizes the available data concerning positive impacts of opioid free anesthesia on 5 opioids side effects using Pubmed, Google Scholar and Cochrane Library. The paucity of the literature prevented us from any conclusion, but a liberal opioid use during the perioperative period should be avoided.
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HAMEURLAINE, S., & de KocK, M. (2018). Should opioid free anesthesia be integrated in enhanced recovery protocols? Acta Anaesthesiologica Belgica, 69(2), 77-83. https://hdl.handle.net/2078.5/61381 (Original work published 2018)