Opioid free anaesthesia: fracture neck of femur (DHS) surgery

Jagannathan, V. K.; Hariharan, A.; Yanny, H.F.

doi:10.1097/00115550-200709001-00274

Cited by 1 publication

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“…While the condition itself is still poorly understood, the seriousness of a hyperalgesic state for postoperative patients has provided the motivation for the fast growing practice of opioid-free anaesthesia (OFA) in human medicine. Additional reported benefits of OFA include reduced post-operative opioid requirements (Feld et al, 2003;Mansour et al, 2013;Bakan et al, 2015), reduced incidence of post-operative nausea and vomiting (Mather and Peutrell, 1995;Callesen et al, 1999;Ziemann-Gimmel et al, 2014;Bakan et al, 2015), reduced intraoperative hypotension (Jagannathan et al, 2007;Bakan et al, 2015), and reduced post-operative sedation levels (Feld et al, 2003). Opioids provide the mainstay of analgesia in a significant proportion of veterinary anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Opioid-free anaesthesia in three dogs

White¹,

Mair²,

Martínez-Taboada³

2017

Open Vet J.

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Opioid-free anaesthesia (OFA) is a relatively new and growing field in human medicine. There are multiple motivations behind this emerging practice with the recognition of several serious potential opioid-related adverse effects including opioid induced hyperalgesia, opioid tolerance and immunomodulatory effects of opioids. Opioids have long been the mainstay of veterinary anaesthesia and pain management practice. The feasibility of OFA in veterinary patients is presented here. A case series of three dogs that underwent OFA for canine ovariohysterectomy is reported. The authors conclude OFA is possible in veterinary medicine; however the move away from the familiar effects of opioids perioperatively is challenging. Gaining experience with these types of protocols for standard procedures in healthy animals, such as neutering, will provide the anaesthetist with the building blocks for more invasive surgeries.

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