Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2020  |  Volume : 64  |  Issue : 5  |  Page : 428-431

Is an opioid-free anaesthesia possible without using alpha-2 agonists?


University Clinic for TOARILUC, Department of Anaesthesia and Intensive Care, Medical Faculty, University “Ss. Cyril and Methodius” - Skopje, Macedonia

Correspondence Address:
Dr. Marija Toleska
University Clinic for TOARILUC, Faculty of Medicine, University “Ss. Cyril and Methodius” – Skopje; “Vodnjanska” Str, No.:17, 1000 Skopje
Macedonia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_664_19

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Opioid-free anaesthesia (OFA) is an anaesthetic technique where non-opioid drugs are used in the intraoperative period. It can be successful without using alpha-2 agonists, which are main drugs used in this multimodal anaesthesia. We are presenting seven different cases where OFA was used in different abdominal surgeries (laparoscopic cholecystectomy, colon cancer operation, and laparoscopic inguinal hernia repair) alone or in a combination with epidural anaesthesia and peripheral nerve block. Prior induction to general anaesthesia all patients received dexamethasone and paracetamol. Induction of general anaesthesia consisted of giving midazolam, lignocaine, propofol, ketamine, and rocuronium. After tracheal intubation anaesthesia was maintained with sevoflurane and continuous infusion with lignocaine, magnesium sulphate, and ketamine (in some patients). At the end of the surgery, all patients received metamizole. The postoperative pain scores were reduced in most of the patients without giving opioids.


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