Feasibility of Opioid-Free Anesthesia for Cervical Rib Excision: A Case Series and Review of Literature
نویسندگان
چکیده
Abstract Background Perioperative pain management following cervical rib excision can be compounded in the background of chronic disorder caused by neurovascular compression. The former mandates an enhanced analgesic requirement wherein perioperative opioid use, particular, associated with a peculiar adverse-effect profile and abuse potential. Appropriate to context, opioid-free anesthesia (OFA) protocol instrumental minimizing incidence aforementioned. Case Series While two patients necessitated OFA owing contraindication, formulated was evaluated another six consecutive posted for elective excision. A combined paravertebral block superficial plexus employed alongside general anesthesia. Intravenous dexmedetomidine lignocaine assisted conduct OFA, paracetamol dosing continued into postoperative period. Intraoperative rescue analgesia ensured ketofol bolus (1:1 mixture ketamine propofol) whereas intravenous diclofenac used analgesia. Results could successfully contemplated all eight patients. single dose had administered intraoperatively as There no nausea/vomiting or any block-related complications. stay uneventful acceptable patient satisfaction. Conclusion index experience reiterates fact that prudent combination nonopioid multimodal analgesics case-based locoregional techniques feature successful protocol, albeit mandating future prospective studies this novel area clinical interest.
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ژورنال
عنوان ژورنال: Journal of cardiac critical care TSS
سال: 2021
ISSN: ['2457-0206', '2456-9224']
DOI: https://doi.org/10.1055/s-0041-1741492