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Papers of the Week

2019 Oct-Dec

J Anaesthesiol Clin Pharmacol



Comparison of opioid-based and opioid-free TIVA for laparoscopic urological procedures in obese patients.


Bhardwaj S, Garg K, Devgan S
J Anaesthesiol Clin Pharmacol. 2019 Oct-Dec; 35(4):481-486.
PMID: 31920231.


Perioperative pain management in an obese patient is challenging. The incidence of respiratory depression is higher in obese patients and is exaggerated with opioids. We evaluated the efficacy of opioid-free anesthesia with propofol, dexmedetomidine, lignocaine, and ketamine in obese patients undergoing urological laparoscopic procedures with reference to postoperative analgesic consumption, hemodynamic stability, and respiratory depression.