scholarly journals ENCHANCED RECOVERY AFTER COLECTOMY : OPIOID FREE ANESTHESIA VERSUS OPIOID BASED ANESTHESIA

2019 ◽  
pp. 1-3
Author(s):  
Andrianimaro Florelia Martinetti* ◽  
Razafindraibe Faneva Angelo Parfait ◽  
Rabenjari Rabenjari ◽  
Oger Sébastien ◽  
Sztark François
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Postoperative Nausea And Vomiting ◽  
Postoperative Recovery ◽  
Pratiques Professionnelles ◽  
Bonnes Pratiques ◽  
Chirurgie Colorectale ◽  
Mr Effect ◽  
Double Blinded ◽  
Postoperative Morphine

1. P. Alfonsi et al. Réhabilitation rapide après une chirurgie colorectale programmée.Annales Françaises d’Anesthésie et de Réanimation 33 (2014) 370–384. 2. Sophie BLANCHARD et coll. Programmes de réhabilitation rapide en chirurgie:état des lieux et perspectives - Note de cadrage.HAS / Service des bonnes pratiques professionnelles / juillet 2014. 3. Opioid free anesthesia (OFA) ou anesthésie sans morphinique.SOFIA 2017. 4. MulierJP (2015). Opioid free anaesthesia (OFA) a Paradigm shift?. Retrieved from http://www.researchgate.net/publication/278307444 5. P. Ziemann-Gimmel. Opioid-free total intravenous anaesthesia reduces postoperative nausea and vomiting in bariatric surgery beyond triple prophylaxis.British Journal of Anaesthesia 112 (5):906–11 (2014). 6. Blaudszun G, Lysakowski C, Elia N, Tramer MR. Effect of perioperative systemic alpha2 agonists on postoperative morphine consumption and pain intensity: systematic review and meta-analysis of randomized controlled trials.Anesthesiology 2012;116:1312-22. 7. Frauenknecht J, Kirkham KR, Jacot-Guillarmod A and al. Analgesic impact of intra-operative opioids vs. opioid-free anaesthesia: a systematic review and meta-analysis. Anaesthesia. 2019 May;74(5):651-662. doi: 10.1111/ anae.14582.Epub 2019 Feb 25.] 8. Feld JM, Hoffman WE, Stechert MM, et al. Fentanyl or dexmedetomidine combined with desflurane for bariatric surgery.J Clin Anesth 2006;18:24–8. 9. Hofer RE, Sprung J, Sarr MG, et al. Anesthesia for a patient with morbid obesity using dexmedetomidine without narcotics. Can J Anaesth 2005;52:176–80. 10. Bello M, Oger S, Bedon-Carte S and al. Effect of opioid-free anaesthesia on postoperative epidural ropivacaine requirement after thoracic surgery: A retrospective unmatched case-control study. Anaesth Crit Care Pain Med. 2019 Feb 5.pii:S2352-5568(18)30281-9. 11. Mefkur Bakana,, Tarik Umutoglua, Ufuk Topuza and al. Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions for laparoscopic cholecystectomy: a prospective, randomized, double-blinded study.Rev Bras Anestesiol.2015;65(3):191-199 12. Marret E, Rolin M, Beaussier M, Bonnet F. Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery. British Journal of Surgery,2008,vol.95,no 11,p.1331-1338.

scholarly journals The efficacy and safety of antimuscarinics for the prevention or treatment of catheter-related bladder discomfort: a systematic review and meta-analysis of randomized controlled trials

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Zhongbao Zhou ◽  
Yuanshan Cui ◽  
Xiaoyi Zhang ◽  
Youyi Lu ◽  
Zhipeng Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Postoperative Nausea And Vomiting ◽  
Control Group ◽  
Controlled Trials ◽  
Efficacy And Safety ◽  
Facial Flushing ◽  
Blurred Vision ◽  
Randomized Controlled

Abstract Objectives This meta-analysis aimed to evaluate the efficacy and safety of antimuscarinics for the prevention or treatment of catheter related bladder discomfort (CRBD). Methods The MEDLINE, EMBASE, and Cochrane Controlled Trials Register (from 1987 to July 2021) were used to search randomized controlled trials. The PRISMA checklists were followed. RevMan5.4.0 was used for statistical analysis. Results Eleven studies involving 1165 patients were involved in the analysis. The study reported that the incidence of CRBD observed in the antimuscarinics group was significantly lower than that of the control group at 0-, 1-, 2-, and 6-h after drug therapy (P = 0.001, P < 0.0001, P = 0.0005, and P = 0.001, respectively). For side effects, there were not statistical differences between the antimuscarinics group and the control group, mainly including dry mouth (risk ratio (RR) = 1.31, 95% confidence interval (CI) = 0.95 to 1.80, P = 0.09), postoperative nausea and vomiting (RR = 1.02, 95% CI = 0.55 to 1.90, P = 0.87), facial flushing (RR = 1.06, 95% CI = 0.43 to 2.61, P = 0.90), and blurred vision (RR = 0.95, 95% CI = 0.35 to 2.58, P = 0.91). Besides, rescue analgesics were required less in the antimuscarinics group than in the control group (RR = 0.51, 95% CI = 0.32 to 0.80, P = 0.003). Conclusions Compared with the control group, the antimuscarinics group had a significant improvement on CRBD, the patients were well tolerated and the use rate of rescue analgesics was low.

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