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Opioid consumption

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The efects of erector spinae plane block on perioperative opioid consumption and rehabilitation in video assisted thoracic surgery

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The effects of erector spinae plane. block on perioperative opioid consumption and rehabilitation in video assisted thoracic surgery. Background: This study aimed to determine whether ultrasound-guided continuous erector spinae plane block (ESPB) had an effect on opioid consumption and postoperative rehabilitation in patients undergoing video-assisted thoracic surgery (VATS)..

The effect of intraoperative lidocaine infusion on opioid consumption and pain after totally extraperitoneal laparoscopic inguinal hernioplasty: A randomized controlled trial

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Because of its influence in several pain pathways, sys- temic lidocaine is widely investigated adjuvant in the regimen of multimodal analgesia to reduce postoperative opioid consumption and pain. Random-effects meta-analysis from the same review on overall total postoperative opioid consumption favored lidocaine compared to the placebo (standardized mean difference (SMD.

Feasibility and postoperative opioid sparing effect of an opioid-free anaesthesia in adult cardiac surgery: A retrospective study

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In addition, we did not observe a higher incidence of postoperative vasoplegia in the OFA- group. opioid consumption after cardiac surgery and reduces variability of blood pressure [29, 39]. Our present data seem to indicate that an OFA protocol designed for cardiac surgery could further decrease perioperative opioid consumption com- pared to the OBA group that received a multimodal an- algesia using opioid intraoperatively.

Analgesic efficacy and safety of erector spinae plane block in breast cancer surgery: A systematic review and metaanalysis

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Table 2 Sensitivity analysis of Opioid consumption at the first 24 h after surgery. Intraoperative opioid consumption. Three studies included 250 patients mea- sured the intraoperative opioid consumption (converted to Intravenous fentanyl equivalents).

A preliminary assessment of vital-signsintegrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain

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The patient’s oxygen saturation and heart rate was continuously monitored by the VPIA analgesic system at least for 24 h after surgery.. (2) VPIA analgesic infusion pump data including opioid consumption, patient demands, successful demands, pat- tern of demands, oxygen saturation and heart rate. and (3) VPIA analgesic infusion pump user feedback survey that was conducted at the end of the study..

Intravenous patient-controlled analgesia plus psychoeducational intervention for acute postoperative pain in patients with pulmonary nodules after thoracoscopic surgery: A retrospective cohort study

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To our excitement, in the current study, PG patients displayed less opioid consumption (morphine equiva- lent of 52.1 mg vs. 67.8 mg, P = 0.038) and fewer opioid- related side effects (11.8% vs. These results, together with the pain relief data mentioned above, further indicate that IV-PCA plus Table 4 Total opioid consumption for acute pain after surgery. Abbreviations: PG psychoeducational intervention group, CG control group. Total opioid consumption.

Effect of surgical pleth index-guided analgesia versus conventional analgesia techniques on fentanyl consumption under multimodal analgesia in laparoscopic cholecystectomy: A prospective, randomized and controlled study

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The difference in the total fentanyl consumption and intraoperative fentanyl consumption between the two groups was significant, P <. in laparoscopic cholecystectomy, we found lower intraop- erative opioid consumption, shorter recovery time, and lower remedial analgesic consumption in the SPI group in our study [14].

The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic renal surgery: A randomized controlled study

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According to previous studies the use of TAP block decreased opioid consumption by 13.5–. 45.3% compared with the placebo during the first 24 h after surgery. We conservatively assumed that opioid consumption would be reduced by 10% in the TAP block group. consumption of sufentanil (within 24 h after surgery) in patients who underwent RLRS without TAP block was μg.

Wound infiltration with ropivacaine as an adjuvant to patient controlled analgesia for transforaminal lumbar interbody fusion: A retrospective study

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Complication Ropivacaine group Control group P value. reported in two groups, less opioid use was another im- portant indicator that reflected the decreased postopera- tive pain in ropivacaine group. We further found that periodic consumption of sufentanil in the ropivacaine patients was less than that of the control group only within 24 h postoperatively. This also indi- cated that the decreased opioid consumption would be associated with the use of wound infiltration with ropivacaine..

The effect of intraoperative lidocaine versus esmolol infusion on postoperative analgesia in laparoscopic cholecystectomy: A randomized clinical trial

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We aimed to assess if intraoperative esmolol infusion is not inferior to lidocaine infusion for opioid consumption after laparoscopic cholecystectomy.. The postoperative median (IQR) morphine equivalent consumption in patients receiving esmolol was mg compared to mg in lidocaine group ( p = 0.27). The median pain scores at various time points were similar between the two groups ( p >.

Ultrasound-guided erector spinae plane block for postoperative analgesia: A metaanalysis of randomized controlled trials

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Ultrasound-guided ESPB showed a reduction of intravenous opioid consumption 24 h after surgery (SMD. Conclusions: Ultrasound-guided ESPB provides effective postoperative analgesic in adults undergoing GA surgeries.. Keywords: Erector Spinae plane block (ESPB), Postoperative analgesia, Regional blockade, Opioid, Pain score.

Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy

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The median total perioperative opioid consumption was lower in the ERAS group compared to the Pre group. (163.8 mg in the Pre group vs. 111.4 mg oral morphine equivalents in the ERAS group (p <. Opioid consumption decreased in the ERAS group throughout the intraoperative, PACU, and hospital floor settings (Table 3), with the most dramatic in the PACU setting, where ERAS was associated with a decrease from 36..

The effect of ultrasound-guided erector spinae plane block on postsurgical pain: A meta-analysis of randomized controlled trials

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Meta-analysis evaluating the effect of erector spinae plane block on opioid consumption compared to control at 24 h following surgery.

Efficacy of intravenous lidocaine infusions for pain relief in children undergoing laparoscopic appendectomy: A randomized controlled trial

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Non-opioid analgesics consumption in the whole perioperative period. Despite a reduction of the intraoperative opioid re- quirement, intravenous lidocaine infusion did not signifi- cantly reduce postoperative opioid consumption in the study population.. An intravenous lidocaine infusion might affect the postoperative period by increasing the time to the first rescue analgesic request from 40 min in the control group to 55 min in the lidocaine group (p = 0.05)..

Ultrasound-guided transmuscular quadratus lumborum block reduced postoperative opioids consumptions in patients after laparoscopic hepatectomy: A three-arm randomized controlled trial

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Ultrasound-guided transmuscular quadratus lumborum block for elective cesarean section significantly reduces postoperative opioid consumption and prolongs time to first opioid request: a double-blind randomized trial. Transmuscular quadratus lumborum block for percutaneous nephrolithotomy reduces opioid consumption and speeds ambulation and discharge from hospital: a single Centre randomised controlled trial. Anterior quadratus lumborum block analgesia for total hip arthroplasty: a.

Dexmedetomidine and sufentanil combination versus sufentanil alone for postoperative intravenous patientcontrolled analgesia: A systematic review and meta-analysis of randomized controlled trials

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However, many types of opioids were used for postoperative PCA in that analysis, and opioid consumption was calculated by opioid equianalgesic con- version, which could introduce clinical heterogeneity.. Therefore, we per- formed a meta-analysis of randomized controlled trials (RCTs) to quantify the effect of dexmedetomidine as an adjuvant for postoperative PCA with sufentanil..

Ultrasound-guided quadratus lumborum block for postoperative pain control in patients undergoing unilateral inguinal hernia repair, a comparative study between two approaches

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Duration of analgesia, postoperative VAS and postoperative opioid consumption were recorded.. Results: Duration of block was significantly longer in QLB-3 group when compared to QLB-2 group h versus respectively) with P value of <. A statistically significant lower VAS score was recorded in QLB-3 group immediately and 12 h postoperative. QLB-3 group showed a statistically significant delayed time of first analgesic request and less postoperative morphine consumption with P value of <.

Dexmedetomidine infusion as an analgesic adjuvant during laparoscopic сholecystectomy: A randomized controlled study

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As shown in Table 2, intraoperative DEX infusion favourably influenced many of the primary and secondary outcomes, including opioid consumption, in- cidence of severe postoperative pain and opioid-related adverse events. on postoperative pain level.

Perioperative Duloxetine and Etoricoxibto improve postoperative pain after lumbar Laminectomy: A randomized, double-blind, controlled study

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Conclusion: The perioperative administration of the combination of etoricoxib and duloxetine improved analgesia and reduced opioid consumption without significant side effects.. Postoperative pain is mediated by different mechanisms at multiple neural sites. Thus, multimodal analgesics can reduce the postoperative pain [1].

Continuous Adductor Canal Block used for postoperative pain relief after medial Unicondylar Knee Arthroplasty: A randomized, double-blind, placebocontrolled trial

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Previous studies have demonstrated improved pain relief and decreased opioid consumption in patients receiving LIA after knee arthroplasty [27, 28]. However, periarticular infiltration analgesic regimens that infiltrate anterior, med- ial, and posterior compartments of the knee are reported to only last 6 to 12 h [29, 30], which is consistent with our observation from the time until breakthrough pain..