Indian Journal of Anaesthesia  
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Year : 2020  |  Volume : 64  |  Issue : 2  |  Page : 141-144

Haemodynamic and analgesic control in a perioperative opioid-free approach to bariatric surgery – A case report

Department of Anaesthesiology, Critical Care and Emergency, Service of Anaesthesiology, Centro Hospitalar do Porto, Porto, Portugal

Correspondence Address:
Dr. Ana Veiga de Sá
Rua Adolfo Casais Monteiro, N 13, 1° Lateral, 4050-014, Porto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ija.IJA_620_19

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New approaches to bariatric surgery aim to achieve stress-free anaesthesia with sympathetic stability to protect organs and provide sufficient tissue perfusion, analgesia and rapid emergence. Opioid-free and multimodal approaches to anaesthesia provide intra- and post-operative sedation and analgesia, particularly advantageous in morbidly obese patients, but their feasibility and efficacy are still disputed. We describe the case of a female patient proposed for laparoscopic bariatric surgery, conducted under an opioid-free anaesthesia protocol, the haemodynamic, ventilatory and analgesic control, and intra- and post-operative monitoring and complications.

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