Impact of Opioid-Free Anesthesia on Analgesia and Recovery Following Bariatric Surgery: a Meta-Analysis of Randomized Controlled Studies

CNU IR > College of Sustainable Environment and Recreation > Dept. of Recreation and Health-Care Management > Periodical Articles > Item 310902800/34668

Metadata null

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34668

Title:	Impact of Opioid-Free Anesthesia on Analgesia and Recovery Following Bariatric Surgery: a Meta-Analysis of Randomized Controlled Studies
Authors:	Hung, Kuo-Chuan Chiu, Chong-Chi Hsu, Chih-Wei Lin, Chien-Ming Liao, Shu-Wei Teng, I. -Chia Chen, I. -Wen Sun, Cheuk-Kwan
Contributors:	Chi Mei Hospital Recreation and Health Management, Chia Nan University of Pharmacy & Science E-Da Hospital I Shou University Chang Gung University Chang Gung Memorial Hospital
Keywords:	obstructive sleep-apnea postoperative nausea respiratory depression remifentanil infusion general-anesthesia stress-response gastric bypass obese-patients risk-factors pain
Date:	2022
Issue Date:	2023-12-11 14:04:02 (UTC+8)
Publisher:	SPRINGER
Abstract:	This meta-analysis aimed at exploring the impact of opioid-free anesthesia (OFA) on pain score and opioid consumption in patients undergoing bariatric surgery (BS). Literature search identified eight eligible trials. Forest plot revealed a significantly lower pain score (mean difference (MD) = - 0.96, p = 0.0002; 318 patients), but not morphine consumption (MD = - 5.85 mg, p = 0.1; 318 patients) at postoperative 24 h in patients with OFA than in those without. Pooled analysis also showed a lower pain score (p = 0.002), morphine consumption (p = 0.0003) in the postanesthetic care unit, and risk of postoperative nausea/vomiting (p = 0.0003) in the OFA group compared to the controls. In conclusion, this meta-analysis demonstrated that opioid-free anesthesia improved pain outcomes immediately and at 24 h after surgery without a beneficial impact on opioid consumption at postoperative 24 h.
Relation:	OBESITY SURGERY, v.32, pp.3113–3124
Appears in Collections:	[Dept. of Recreation and Health-Care Management] Periodical Articles

Files in This Item:

File	Description	Size	Format
index.html		0Kb	HTML	364	View/Open

Loading...