Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
CASE STUDY   (Open Access)

Opioid-Free Anesthesia in Transsphenoidal Surgery: A Case Report

Irwan Setiadi1, Muhammad Rezanda Alifahna2*, Radian Ahmad Halimi1, Dewi Yulianti Bisri1

+ Author Affiliations

Journal of Angiotherapy 8(6) 1-4 https://doi.org/10.25163/angiotherapy.869747

Submitted: 08 April 2024  Revised: 11 June 2024  Published: 16 June 2024 

The case  study shows the opioid-free anesthesia for transsphenoidal surgery, highlighting its efficacy in supporting Enhanced Recovery After Surgery (ERAS) protocols.

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

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