Bibliographic Details
| Title: |
Opioid-free anesthesia with esketamine-dexmedetomidine versus opioid-based anesthesia with propofol-remifentanil in shoulder arthroscopy: a randomized controlled trial |
| Authors: |
Zhouya Xue, Cong Yan, Yi Liu, Nan Yang, Geqing Zhang, Weisheng Qian, Bin Qian, Xiang Liu |
| Source: |
BMC Surgery, Vol 24, Iss 1, Pp 1-10 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Surgery |
| Subject Terms: |
Opioid-free anesthesia, Esketamine, Dexmedetomidine, Shoulder arthroscopy, Surgery, RD1-811 |
| More Details: |
Abstract Background OFA (Opioid-free anesthesia) has the potential to reduce the occurrence of opioid-related adverse events and enhance postoperative recovery. Our research aimed to investigate whether OFA, combining esketamine and dexmedetomidine, could serve as an alternative protocol to traditional OBA (opioid-based anesthesia) in shoulder arthroscopy, particularly in terms of reducing PONV (postoperative nausea and vomiting). Methods A total of 60 patients treated with shoulder arthroscopy from September 2021 to September 2022 were recruited. Patients were randomly assigned to the OBA group (n = 30) and OFA group (n = 30), receiving propofol-remifentanil TIVA (total intravenous anesthesia) and esketamine-dexmedetomidine intravenous anesthesia, respectively. Both groups received ultrasound-guided ISBPB(interscalene brachial plexus block)for postoperative analgesia. Results The incidence of PONV on the first postoperative day in the ward (13.3% vs. 40%, P |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2482 |
| Relation: |
https://doaj.org/toc/1471-2482 |
| DOI: |
10.1186/s12893-024-02518-9 |
| Access URL: |
https://doaj.org/article/3dec78e2eeda468a97434fd10d9fb40f |
| Accession Number: |
edsdoj.3dec78e2eeda468a97434fd10d9fb40f |
| Database: |
Directory of Open Access Journals |
