Opioid-Free Anesthesia in Transsphenoidal Surgery: A Case Report
Irwan Setiadi1, Muhammad Rezanda Alifahna2*, Radian Ahmad Halimi1, Dewi Yulianti Bisri1
Journal of Angiotherapy 8(6) 1-3 https://doi.org/10.25163/angiotherapy.869747
Submitted: 08 April 2024 Revised: 11 June 2024 Published: 16 June 2024
Abstract
Transsphenoidal surgery is a less invasive approach that leaves no visible scars, minimizes complications, and enables rapid recovery. The Enhanced Recovery After Surgery (ERAS) concept in neurosurgery aims to reduce hospitalization duration. Opioid-free anesthesia supports ERAS by reducing pain, postoperative nausea and vomiting (PONV), and shivering. This case series features women diagnosed with a suprasellar mass, who underwent transsphenoidal surgery with opioid-free anesthesia, achieving good outcomes through various agents and modalities for postoperative pain management. The operation proceeded with stable hemodynamics, underscoring the benefits of opioid-free anesthesia in supporting ERAS.
Keywords: Opioid Free, Perioperative Analgesia, ERAS, Anesthesia
References
Allam, A. E., Khalil, A. A. F., Eltawab, B. A., Wu, W. T., & Chang, K. V. (2018). Ultrasound-Guided Intervention for Treatment of Trigeminal Neuralgia: An Updated Review of Anatomy and Techniques. Pain Research and Management, 2018, 5480728.
Ban, V. S., Bhoja, R., & McDonagh, D. L. (2019). Multimodal analgesia for craniotomy. Current Opinion in Anesthesiology, 32(5), 592-599.
Brat, G. A., Agniel, D., Beam, A., Yorkgitis, B., Bicket, M., Homer, M., et al. (2018). Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. BMJ, 360.
Chong, C. T. (2019). ESRA19-0566 Opioid-free anaesthesia for supratentorial craniotomy for tumor resection. Regional Anesthesia & Pain Medicine, 44(Suppl 1), A140.
Hagan, K. B., Bhavsar, S., Raza, S. M., Arnold, B., Arunkumar, R., Dang, A., et al. (2016). Enhanced recovery after surgery for oncological craniotomies. Journal of Clinical Neuroscience, 24, 10-16.
Joshi, G. P., & Kehlet, H. (2019). Postoperative pain management in the era of ERAS: an overview. Best Practice & Research Clinical Anaesthesiology, 33(3), 259-267.
Macintyre, P. E., Huxtable, C. A., Flint, S. L. P., & Dobbin, M. D. H. (2014). Costs and consequences: a review of discharge opioid prescribing for ongoing management of acute pain. Anaesthesia and Intensive Care, 42(5), 558-574.
Stumpo, V., Staartjes, V. E., Quddusi, A., Corniola, M. V., Tessitore, E., Schröder, M. L., et al. (2021). Enhanced Recovery After Surgery strategies for elective craniotomy: a systematic review. Journal of Neurosurgery, 135(6), 1857-1881.
Takechi, K., Konishi, A., Kikuchi, K., Fujioka, S., Fujii, T., Yorozuya, T., Kuzume, K., & Nagaro, T. (2015). Real-time ultrasound-guided infraorbital nerve block to treat trigeminal neuralgia using a high concentration of tetracaine dissolved in bupivacaine. Scandinavian Journal of Pain, 6(1), 51-54.
Vigneault, L., Turgeon, A. F., Cote, D., et al. (2011). Perioperative intravenous lidocaine infusion for postoperative pain control: a metaanalysis of randomized controlled trials. Canadian Journal of Anesthesia, 58(1), 22-37.
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