Title Opioid free anesthesia – benefits and risks /
Translation of Title Opioid Free Anesthesia – Benefits and Risks.
Authors Krosch, Christine Felicitas Helene
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Pages 32
Keywords [eng] Anaesthesia, opioid-free anaesthesia, opioids, opioid crisis, multimodal analgesia, PONV, ERAS, onco-anaesthesia, regional anaesthesia, risks, benefits, pain management.
Abstract [eng] The discussion surrounding the use of opioids in anaesthesia is complex and raising questions about potential risks and alternatives. Although opioids are well known for their benefits in pain management, they are increasingly being criticised for their side effects, as well as the risk of addiction and misuse. In this context, the concept of opioid-free anaesthesia, which aims to avoid the use of opioids during anaesthesia, is gaining importance. New anaesthesiological concepts for opioid-free anaesthesia and enhanced recovery after surgery focus on alternative approaches to pain management based on co-analgesics such as dexmedetomidine, lidocaine, ketamine, nonsteroidal anti-inflammatory drugs and regional anaesthesia techniques. These approaches may help to avoid opioid-related complications and improve perioperative outcomes. In particular, opioid-free anaesthesia could be beneficial for patient groups with sleep apnoea, postoperative nausea and vomiting, increased risk of addiction, or chronic cancer pain. However, despite the potential of these approaches, research is needed to assess the practicality and long-term impact of opioid-free anaesthesia on perioperative outcomes. The decision to use opioids in anaesthesia should be based on a multimodal approach and careful evaluation of both benefits and risks.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2024