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Layer Microdissection of Tricuspid Valve Leaflets for Biaxial Mechanical Characterization and Microstructural Quantification
Published on: February 10, 2022
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Opiate-Free Tricuspid Valve Replacement: Case Report
Jeffrey P Cardinale1, George Gilly1
11 Ochsner Health System, New Orleans, LA, USA.
Seminars in Cardiothoracic and Vascular Anesthesia
|April 21, 2018
Summary
This case report details a successful opioid-free tricuspid valve replacement surgery for a patient in recovery from opioid addiction. The multimodal approach ensured effective pain management and recovery without opioids.
Area of Science:
- Anesthesiology
- Cardiovascular Surgery
- Pain Management
Background:
- Opioid analgesics are commonly used for perioperative pain but carry risks like respiratory depression and dependence.
- Multimodal analgesia strategies are increasingly adopted for complex surgeries to improve recovery and reduce opioid-related complications.
Observation:
- A 30-year-old male with a history of opioid addiction and severe tricuspid regurgitation required tricuspid valve replacement.
- The patient specifically requested an opioid-free surgical and recovery process.
Findings:
- A comprehensive multimodal anesthetic and pain management plan was successfully implemented for the patient.
- The patient underwent a completely opioid-free tricuspid valve replacement surgery and experienced a smooth recovery.
Implications:
- This case demonstrates the feasibility of opioid-free major cardiac surgery in patients with a history of opioid use disorder.
- Opioid-free multimodal strategies can be a viable option for selected patients, potentially reducing risks associated with opioid administration.
- Further research into opioid-free anesthetic techniques is warranted for enhanced recovery after cardiac surgery.
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