Nonopioid versus opioid based general anesthesia technique for bariatric surgery: A randomized double-blind study

Saudi Journal of Anaesthesia
Mohamed Ahmed MansourMohammed Geddawy

Abstract

The objective of this study was to evaluate the efficacy and safety of giving general anesthesia without the use of any opioids either systemic or intraperitoneal in bariatric surgery. Prospective randomized controlled trial. Obese patients (body mass index >50 Kg/m(2)) undergoing laparoscopic sleeve gastrectomies were recruited and provided an informed signed consent. Patients were randomized using a computer generated randomization table to receive either opioid or non-opioid based anesthesia. The patient and the investigator scoring patient outcome after surgery were blinded to the anesthetic protocol. Primary outcomes were hemodynamics in the form of "heart rate, systolic, diastolic, and mean arterial blood pressure" on induction and ½ hourly thereafter. Pain monitoring through visual analog scale (VAS) 30 min after recovery, hourly for 2 h and every 4 h for 24 h was also recorded. Pain monitoring through VAS and post-operative nausea and vomiting 30 min after recovery were also recorded and finally patient satisfaction and acute pain nurse satisfaction. There was no difference in background characteristics in both groups. There were no statistically significant differences in different outcomes as heart rate, mean blood pr...Continue Reading

References

Apr 3, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·James M FeldWilliam E Hoffman
Apr 17, 2004·Journal of Clinical Gastroenterology·Andrew Ukleja, Ronald L Stone
Mar 7, 2006·Journal of Clinical Anesthesia·James M FeldRanga C Ananda

❮ Previous
Next ❯

Citations

Feb 6, 2019·World Journal of Surgery·Hoani MacfaterUNKNOWN PROSPECT collaborators
Jun 19, 2019·Surgical Endoscopy·Jerry T DangShahzeer Karmali
Oct 3, 2020·Southern Medical Journal·Susan A SmithDaniel J Canter
Aug 14, 2021·Anesthesiology·Jerry Ingrande, John C Drummond

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation
gastric bypass

Software Mentioned

Statistical Package for the Social Science ( SPSS )
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Surgery
Harvey J SugermanLuke G Wolfe
Acta anaesthesiologica Belgica
E Mertens
Texas Heart Institute Journal
Vadim Sherman
© 2021 Meta ULC. All rights reserved