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OPIOID FREE GENERAL ANESTHESIA IN CLINICAL PRACTICE - A REVIEW ARTICLE
Sanja Sakan1, Žana Turudić1, Sanja Peremin1
1Department of Anesthesiology, Resuscitation and Intensive Medicine, Dubrava University Hospital, Zagreb, Croatia.
Opioid-free general anesthesia, a multimodal technique, offers significant perioperative benefits. This approach should be integrated into enhanced recovery after surgery (ERAS) protocols for improved patient outcomes.
Area of Science:
- Anesthesiology
- Surgical Care
Background:
- Enhanced Recovery After Surgery (ERAS) protocols aim for early patient recovery and reduced complications.
- Opioid-free general anesthesia is a multimodal perioperative care pathway gaining attention for its benefits.
Purpose of the Study:
- To evaluate the perioperative benefits of opioid-free general anesthesia.
- To determine the suitability of opioid-free anesthesia within ERAS protocols.
Main Methods:
- Opioid-free general anesthesia involves intravenous administration of nonopioid drugs to block surgical stress.
- This technique avoids preoperative and intraoperative opioid use until patient arousal.
Main Results:
- Opioid-free anesthesia effectively controls postoperative pain, the fifth vital sign.
- It demonstrates minimal side effects and improved patient recovery compared to traditional anesthesia.
Conclusions:
- Opioid-free general anesthesia offers comparable surgical conditions with enhanced recovery.
- Further research is warranted to fully establish its role in ERAS protocols.
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