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Anaes VivasAnaesthetic adjuncts

Anaes Vivas · Anaesthetic adjuncts

Data viva — the evidence base for the adjuncts

A data viva on the adjunct evidence — the ketamine 20-40% opioid-sparing; the dexmedetomidine 20-30%; the lidocaine 15-25%; the gabapentinoid 10-20% (variable); the magnesium 15-25%. The evidence strength ranking.

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Target exams

ANZCAFRCAABAEDAIC
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Study tools

Target exams

ANZCAFRCAABAEDAIC
Prompt
A table summarising the opioid-sparing percentage for each adjunct. Interpret and rank the evidence.

Stimulus

A table shows the opioid-sparing percentage for the common adjuncts: the ketamine 20 to 40 per cent; the dexmedetomidine 20 to 30; the lidocaine 15 to 25; the gabapentinoid 10 to 20 (variable); the magnesium 15 to 25. Interpret and rank the evidence.

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References2ShowHide
  1. [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
  2. [2]Muntean C, et al. Intravenous Lidocaine as an Adjunct for Postoperative Recovery After Open Abdominal Surgery: A Systematic Review. J Clin Med, 2026.PMID 42278931
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PreviousData viva — the antiemetic classes and the PONV prophylaxis evidenceAnaesthetic adjunctsNextData viva — the GABA-A receptor and the benzodiazepine binding siteAnaesthetic adjuncts