Anaes Cases · Anaesthetic adjuncts
The opioid-free anaesthesia protocol
The long case — the OFA. The dexmedetomidine + the ketamine + the lidocaine + the TAP block + the paracetamol/NSAID; the dexmedetomidine infusion for the sedation and the analgesia; the ketamine for the anti-hyperalgesia; the lidocaine for the anti-inflammatory; the TAP for the regional; the no opioid throughout.
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ANZCAFRCAABAEDAIC
Prompt
A 55-year-old woman for the elective laparoscopic cholecystectomy requests the opioid-free technique. Discuss the anaesthetic plan.
Presentation
A 55-year-old woman, ASA 2, for the elective laparoscopic cholecystectomy, requests the opioid-free anaesthesia. Discuss the plan.
References1ShowHide
- [1]Al Subhi M, et al. Effect of Perioperative Ketamine and Esketamine on Postoperative Fatigue: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicina, 2026.PMID 42356168