Opioid-free general anesthesia: considerations, techniques, and limitations

H Shanthanna, GP Joshi - Current Opinion in Anesthesiology, 2024 - journals.lww.com
Complete avoidance of intraoperative opioids remains questionable, as it does not
necessarily ensure avoidance of postoperative opioids. Multimodal analgesia including …

Multimodal opioid sparing onco-anesthesia: A consensus practice guideline from Society of Onco-Anesthesia and Perioperative Care (SOAPC).

SL Solanki, RS Thota, J Rajan… - Journal of Opioid …, 2021 - europepmc.org
Opioids are an indispensable part of perioperative pain management of cancer surgeries.
Opioids do have some side effects and abuse potential, and some laboratory data suggest a …

Surgeons take action to reduce opioid diversion via the implementation of guideline-based opioid prescribing

G Tortorello, RR Kelz - Journal of the American College of …, 2019 - journals.lww.com
CONCLUSIONS We have shown that a targeted approach including a hospital intervention
is successful in a significant decrease in postoperative opioid prescription and resolution of …

Feasibility of prospectively comparing opioid analgesia with opioid-free analgesia after outpatient general surgery: a pilot randomized clinical trial

U Do, C El-Kefraoui, M Pook, S Balvardi… - JAMA Network …, 2022 - jamanetwork.com
Importance The overprescription of opioids to surgical patients is recognized as an important
factor contributing to the opioid crisis. However, the value of prescribing opioid analgesia …

Opioid prescribing after breast surgery: a systematic review of guidelines

KY Chan, S Keogh, N Aucharaz, A Merrigan, S Tormey - The Surgeon, 2023 - Elsevier
Background Despite advances in opioid-sparing analgesia, opioid prescribing in breast
surgery remains suboptimal. Besides delayed rehabilitation, excess post-operative opioids …

Minimal important difference in opioid consumption based on adverse event reduction—A study protocol

APH Karlsen, C Pedersen, J Laigaard… - Acta …, 2023 - Wiley Online Library
Background The patient‐relevant minimal important difference for opioid consumption
remains undetermined, despite its frequent use as primary outcome in trials on …

Using provider-focused education toolkits can aid enhanced recovery programs to further reduce patient exposure to opioids

A Sarin, E Lancaster, L Chen, S Porten, L Chen… - Perioperative …, 2020 - Springer
Background Evidence-based perioperative analgesia is an important tactic for reducing
patient exposure to opioids in the perioperative period and potentially preventing new …

Opioid-free anesthesia benefit–risk balance: a systematic review and meta-analysis of randomized controlled trials

A Salomé, H Harkouk, D Fletcher… - Journal of Clinical …, 2021 - mdpi.com
Opioid-free anesthesia (OFA) is used in surgery to avoid opioid-related side effects.
However, uncertainty exists in the balance between OFA benefits and risks. We searched for …

[图书][B] Opioid versus opioid-free analgesia after surgical discharge: A systematic review and meta-analysis of randomized trials

C El-Kefraoui - 2022 - search.proquest.com
Background Excessive opioid prescribing after surgery has contributed to the current opioid
crisis; however, the value of prescribing opioids at surgical discharge remains uncertain. We …

Effectiveness of non-opioid pharmacological adjuncts for adult surgical patients: an umbrella review protocol

T Husser, J Marcom, J Mark, J Buonora… - JBI Evidence …, 2019 - journals.lww.com
Objective: The objective of this review is to determine the effectiveness of non-opioid
pharmacological adjuncts for decreasing perioperative morphine equivalents and acute …