镇痛/痛觉指数指导的非阿片类静脉抗痛觉:病例报告

IF 1 Q3 Medicine

Revista brasileira de anestesiologia Pub Date : 2020-11-01 DOI:10.1016/j.bjan.2020.07.005

Sean Coeckelenbergh , Jean‐Pierre Estebe

{"title":"镇痛/痛觉指数指导的非阿片类静脉抗痛觉:病例报告","authors":"Sean Coeckelenbergh , Jean‐Pierre Estebe","doi":"10.1016/j.bjan.2020.07.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Opioid‐free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid‐free infusions with a nociception monitor may be the solution.</p></div><div><h3>Case report</h3><p>We describe the feasibility and potential limitations of titrating opioid‐free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient's nociception‐antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids.</p></div><div><h3>Conclusion</h3><p>Personalizing opioid‐free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.</p></div>","PeriodicalId":21261,"journal":{"name":"Revista brasileira de anestesiologia","volume":"70 6","pages":"Pages 678-681"},"PeriodicalIF":1.0000,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjan.2020.07.005","citationCount":"4","resultStr":"{\"title\":\"Antinocicepção intravenosa sem opioides orientada pelo Índice de Analgesia/Nocicepção: relato de caso\",\"authors\":\"Sean Coeckelenbergh , Jean‐Pierre Estebe\",\"doi\":\"10.1016/j.bjan.2020.07.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Opioid‐free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid‐free infusions with a nociception monitor may be the solution.</p></div><div><h3>Case report</h3><p>We describe the feasibility and potential limitations of titrating opioid‐free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient's nociception‐antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids.</p></div><div><h3>Conclusion</h3><p>Personalizing opioid‐free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.</p></div>\",\"PeriodicalId\":21261,\"journal\":{\"name\":\"Revista brasileira de anestesiologia\",\"volume\":\"70 6\",\"pages\":\"Pages 678-681\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2020-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.bjan.2020.07.005\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista brasileira de anestesiologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0034709420304505\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista brasileira de anestesiologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0034709420304505","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 4

摘要

无阿片类药物麻醉可降低阿片类药物不良事件的发生率，但其最佳抗感觉深度尚未明确定义。个体化术中无阿片类药物输注和伤害感受监测可能是解决方案。病例报告:我们描述了在腹部大手术期间使用镇痛痛觉指数(Mdoloris，里尔，法国)滴定无阿片类药物抗痛觉的可行性和潜在局限性。术中稳定患者伤害-抗感觉平衡后，我们迅速逆转麻醉，患者术后不需要阿片类药物。结论个体化无阿片类药物抗痛觉监测是可行的。可优化术中镇痛效果，提高术后舒适度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Antinocicepção intravenosa sem opioides orientada pelo Índice de Analgesia/Nocicepção: relato de caso

Background

Opioid‐free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid‐free infusions with a nociception monitor may be the solution.

Case report

We describe the feasibility and potential limitations of titrating opioid‐free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient's nociception‐antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids.

Conclusion

Personalizing opioid‐free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Revista brasileira de anestesiologia ANESTHESIOLOGY-

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： The Brazilian Journal of Anesthesiology is the official journal of the Brazilian Anesthesiology Society. It publishes articles classified into the following categories: -Scientific articles (clinical or experimental trials)- Clinical information (case reports)- Reviews- Letters to the Editor- Editorials. The journal focuses primarily on clinical trials, with scope on clinical practice, aiming at providing applied tools to the anesthesiologist and critical care physician. The Brazilian Journal of Anesthesiology accepts articles exclusively forwarded to it. Articles already published in other journals are not accepted. All articles proposed for publication are previously submitted to the analysis of two or more members of the Editorial Board or other specialized consultants.