Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report

Bibliographic Details
Main Author: Coeckelenbergh,Sean
Publication Date: 2020
Other Authors: Estebe,Jean-Pierre
Format: Report
Language: eng
Source: Revista Brasileira de Anestesiologia (Online)
Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000600678
Summary: Abstract Background: Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. Case report: We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient’s nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids. Conclusion: Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.
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spelling Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case reportNociceptionPainPerioperative medicineMonitoringAbstract Background: Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. Case report: We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient’s nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids. Conclusion: Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.Sociedade Brasileira de Anestesiologia2020-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000600678Revista Brasileira de Anestesiologia v.70 n.6 2020reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2020.07.010info:eu-repo/semantics/openAccessCoeckelenbergh,SeanEstebe,Jean-Pierreeng2021-01-29T00:00:00Zoai:scielo:S0034-70942020000600678Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2021-01-29T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false
dc.title.none.fl_str_mv Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
title Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
spellingShingle Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
Coeckelenbergh,Sean
Nociception
Pain
Perioperative medicine
Monitoring
title_short Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
title_full Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
title_fullStr Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
title_full_unstemmed Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
title_sort Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report
author Coeckelenbergh,Sean
author_facet Coeckelenbergh,Sean
Estebe,Jean-Pierre
author_role author
author2 Estebe,Jean-Pierre
author2_role author
dc.contributor.author.fl_str_mv Coeckelenbergh,Sean
Estebe,Jean-Pierre
dc.subject.por.fl_str_mv Nociception
Pain
Perioperative medicine
Monitoring
topic Nociception
Pain
Perioperative medicine
Monitoring
description Abstract Background: Opioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution. Case report: We describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient’s nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids. Conclusion: Personalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000600678
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000600678
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjane.2020.07.010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
dc.source.none.fl_str_mv Revista Brasileira de Anestesiologia v.70 n.6 2020
reponame:Revista Brasileira de Anestesiologia (Online)
instname:Sociedade Brasileira de Anestesiologia (SBA)
instacron:SBA
instname_str Sociedade Brasileira de Anestesiologia (SBA)
instacron_str SBA
institution SBA
reponame_str Revista Brasileira de Anestesiologia (Online)
collection Revista Brasileira de Anestesiologia (Online)
repository.name.fl_str_mv Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)
repository.mail.fl_str_mv ||sba2000@openlink.com.br
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