Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
Abstract Background: Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. Case report: We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient’s nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids. Conclusion: Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.
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| Format: | Digital revista |
| Language: | English |
| Published: |
Sociedade Brasileira de Anestesiologia
2020
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| Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000600678 |
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