Laparotomy in a patient under opioid free anesthesia

Obese patients subjected to bariatric surgery have a high probability of presenting complications that worsen with the use of opioids and can be reduced thanks to anaesthetic techniques like opioid-free anaesthetics (OFA). The risk of having to convert the laparoscopic surgical technique into open s...

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Veröffentlicht in:Anales del sistema sanitario de Navarra 2018-08, Vol.41 (2), p.259-262
Hauptverfasser: Díaz-Crespo, J, Malo-Manso, A, Bustamante-Domínguez, C, Escalona-Belmonte, J J, Cruz-Mañas, J, Guerrero-Orriach, J L
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container_issue 2
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container_title Anales del sistema sanitario de Navarra
container_volume 41
creator Díaz-Crespo, J
Malo-Manso, A
Bustamante-Domínguez, C
Escalona-Belmonte, J J
Cruz-Mañas, J
Guerrero-Orriach, J L
description Obese patients subjected to bariatric surgery have a high probability of presenting complications that worsen with the use of opioids and can be reduced thanks to anaesthetic techniques like opioid-free anaesthetics (OFA). The risk of having to convert the laparoscopic surgical technique into open surgery is one of the criticisms aimed at this anaesthetic modality, facing the possibility of there not being a correct sympathetic or nociceptive control. We present the case of a patient scheduled for laparoscopic bariatric surgery who, while maintaining OFA, was converted to open surgery (exploratory laparoscopy), with correct control achieved of both haemodynamics and perioperative pain.
doi_str_mv 10.23938/ASSN.0294
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subjects Adult
Anesthesia - methods
Bariatric Surgery - methods
Conversion to Open Surgery
Female
Humans
Laparotomy
title Laparotomy in a patient under opioid free anesthesia
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