THE EVALUATION OF THE RISK OF COMPLICATIONS DURING MULTIMODAL AND OPIOID ANESTHESIA IN BARIATRIC SURGERY AND...

Area of Science:

• Anesthesiology
• Surgical Oncology
• Pain Management

Background:

• Opioid anesthesia during surgery is linked to adverse side effects.
• Effective pain management strategies are crucial for bariatric and abdominoplasty patients.
• Multimodal anesthesia offers a potential alternative to opioid-based approaches.

Purpose of the Study:

• To evaluate the risk of postoperative pain in patients undergoing bariatric surgery and abdominoplasty.
• To compare outcomes between standard opioid anesthesia and multimodal anesthesia without opioids.

Main Methods:

• A study involving 127 patients (93 women, 34 men) aged 20-70.
• Patients were divided into two groups: Group I (standard opioid anesthesia) and Group II (multimodal anesthesia without opioids).
• Postoperative pain, non-opioid necessity, and opioid usage were assessed in hospital and ambulatory stages.

Main Results:

• Multimodal anesthesia reduced the need for postoperative opioid treatment (RR=3.86) and non-opioid medication (RR=0.35) compared to opioid anesthesia.
• Patients receiving multimodal anesthesia showed a reduced risk of requiring medical treatment in the ambulatory stage (RR=3.11).
• Significant correlations were observed between multimodal anesthesia and various postoperative pain management phases (PACU).

Conclusions:

• Multimodal anesthesia without opioids is associated with reduced postoperative pain and opioid consumption in bariatric and abdominoplasty procedures.
• This approach may shorten the duration of postoperative care.
• Multimodal anesthesia presents a safer alternative to opioid-based anesthesia, minimizing associated risks and side effects.