Open AccessOpioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant
Author(s) -
Ramón Eizaga Rebollar,
Elena Borreiros Rodríguez,
Irene Delgado Olmos,
Luis Miguel Torres Morera
Publication year - 2021
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_319_21
Subject(s) - medicine , dexmedetomidine , anesthesia , perioperative , anesthetic , opioid , fentanyl , analgesic , sedation , receptor
Despite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) combined with transversus abdominis plane (TAP) block with Dexmedetomidine (DEX). Perioperative opioids were entirely avoided, and intraoperative anesthetics and postoperative analgesic were considerably reduced. The infant showed cardiorespiratory stability and optimal analgesia during the uneventful procedure and the postoperative period. We consider OFA and TAP block with DEX a safe and effective anesthetic combination for high-risk infants.