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Papers of the Week

2019 Jun

Curr Opin Anaesthesiol



Is opioid-free general anesthesia for breast and gynecological surgery a viable option?


Mulier JP
Curr Opin Anaesthesiol. 2019 Jun; 32(3):257-262.
PMID: 31045633.


Opioid-free anesthesia (OFA) was introduced to avoid tolerance and hyperalgesia, allowing reduction in postoperative opioids. OFA focused initially on postoperative respiratory safety for patients undergoing ambulatory surgery and for obstructive sleep apnea syndrome patients otherwise requiring intensive care admission. What about using OFA in plastic and oncological breast surgery, in deep inferior epigastric perforators flap surgery, and in gynecological laparoscopy?