Open AccessComparison of opioid-based and opioid-free TIVA for laparoscopic urological procedures in obese patients
Author(s) -
Shaman Bhardwaj,
Kamakshi Garg,
Sumeet Devgan
Publication year - 2019
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_382_18
Subject(s) - medicine , anesthesia , pacu , opioid , perioperative , analgesic , remifentanil , randomized controlled trial , ketamine , dexmedetomidine , hemodynamics , propofol , surgery , sedation , receptor
Perioperative pain management in an obese patient is challenging. The incidence of respiratory depression is higher in obese patients and is exaggerated with opioids. We evaluated the efficacy of opioid-free anesthesia with propofol, dexmedetomidine, lignocaine, and ketamine in obese patients undergoing urological laparoscopic procedures with reference to postoperative analgesic consumption, hemodynamic stability, and respiratory depression.