ASA: opioid-free anesthesia feasible for surgical procedures

October 24, 2017

(HealthDay)—Opioid-free anesthesia is feasible and well-tolerated, and only 36 percent of patients requested oral opioids in the post-anesthesia care unit (PACU), according to a study presented at the annual meeting of the American Society of Anesthesiologists, being held Oct. 21 to 25 in Boston.

Enrico M. Camporesi, M.D., from the University of South Florida in Tampa, and colleagues conducted a retrospective review of surgical cases of 1,009 with a single anesthesiologist at an outpatient center to describe the provision of services without opioids. The opioid-free intraoperative anesthesia protocol included acetaminophen, magnesium, ketamine and lidocaine, and ketorolac (for adult patients if the surgeon allowed it). All patients also received Decadron, Zofran, and supplemental sevoflurane. Middle-ear surgery patients received gabapentin.

The researchers found that patients and surgeons reported satisfaction with the protocol for anesthesia, and postoperative pain management was well-tolerated. In the PACU, only 36 percent of patients requested oral opioid medications, with notably more pain medications for certain procedures, such as complex facial plastics and nasal/sinus surgeries with longer case lengths. More nausea was also required by patients in these two groups.

"In conclusion, safe anesthesia for multiple procedures varying in duration from an hour to several hours while using minimal opioids is possible," the authors write.

Explore further: Acetaminophen may help reduce postoperative shivering

More information: Abstract
More Information

Related Stories

Acetaminophen may help reduce postoperative shivering

October 22, 2017
Administering acetaminophen, such as Tylenol, during surgery may reduce the incidence of postoperative shivering, suggests a study being presented at the ANESTHESIOLOG 2017 annual meeting.

Longer anesthesia duration tied to more surgical complications

October 9, 2017
(HealthDay)—Increased anesthesia duration is associated with significantly increased rates of surgical complications, especially the need for postoperative transfusion, among patients undergoing microvascular reconstruction ...

UVA slashes opioid use while improving pain scores, study finds

January 18, 2017
A study of more than 100,000 surgical cases at University of Virginia Health System found patients' pain scores improved even as doctors gave fewer opioids.

Hip and knee replacement patients using fewer opioids to manage pain after surgery

October 22, 2017
Opioid use in patients recovering from hip and knee replacement decreased by one-third between 2006 and 2014, reflecting success in efforts to promote a multimodal approach to pain management (using a variety of methods to ...

Plastic surgeons get tips on managing opioid addiction risk

October 2, 2017
Opioid medications prescribed for pain management after plastic surgery may contribute to the ongoing opioid epidemic, according to a special topic paper in the October issue of Plastic and Reconstructive Surgery, the official ...

Opioids often overprescribed in patients undergoing surgery

July 17, 2017
(HealthDay)—For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

Recommended for you

3-D-printed tracheal splints used in groundbreaking pediatric surgery

September 19, 2018
Children's Healthcare of Atlanta has performed Georgia's first-ever procedure to place 3-D-printed tracheal splints in a pediatric patient. A cross-functional team of Children's surgeons used three custom-made splints, which ...

Muscle relaxants increase risk of respiratory complications

September 18, 2018
Muscle relaxants are a necessary part of anesthesia during certain major operations. However, studies have hinted at respiratory risks connected with these drugs. POPULAR, a major prospective observational European study ...

Gunshot victims require much more blood and are more likely to die than other trauma patients

September 17, 2018
In a new analysis of data submitted to Maryland's state trauma registry from 2005 to 2017, Johns Hopkins Medicine researchers found that gunshot victims are approximately five times more likely to require blood transfusions, ...

Liver allocation system disadvantages children awaiting transplants

September 17, 2018
Children are at a considerable disadvantage when competing with adults for livers from deceased organ donors in the U.S. allocation system, a University of Pittsburgh Graduate School of Public Health-led analysis reveals ...

Taste preferences connected to success of long-term weight loss after bariatric surgery

September 16, 2018
Following Roux-en-Y gastric bypass (RYGB), a type of bariatric surgery, many patients exhibit a reduction in taste preference for sweet and fatty foods, although this effect may only be temporary, according to new research ...

New insights into what drives organ transplant rejection

September 6, 2018
When it comes to transplant rejection, some organs are far trickier than others. Some transplantable organs, such as the liver, are readily accepted by the recipient's immune system, rarely triggering an immune response and ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.