2024, Volume 17, Issue 12, pp 1061 – 1066

Opioid-free anesthesia in enhanced recovery after supratentorial craniotomies: a case series

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Authors and Affiliations

Corresponding author Muhammad Rezanda Alifahna Department of Anesthesiology and Intensive Care, Faculty of Medicine Universitas Padjadjaran Bandung, Indonesia Department of Anesthesiology and Intensive Care, Dr. Hasan Sadikin National Referral and Teaching Hospital, Bandung, Indonesia E-mail: muhammadrezanda@gmail.com

Abstract

Enhanced Recovery After Surgery (ERAS) is a recovery method developed to minimize pain and improve post-operative healing in patients. Brain tumor resection using the ERAS concept is relatively new. This case series evaluates the implementation of the ERAS protocol in three female patients diagnosed with supratentorial brain tumors. All patients presented with headache as a primary symptom and underwent craniotomy under general anesthesia supplemented with a scalp block. The surgeries were performed with stable hemodynamics, and anesthesia was maintained using dexmedetomidine, propofol, and rocuronium. After surgery, the patients were immediately extubated and treated in the intensive care unit. The use of opioid-free anesthesia significantly supported the ERAS principles by reducing pain, postoperative nausea and vomiting (PONV), and shivering. This case series highlights the potential of opioid-free anesthesia as an effective alternative to opioids, aligning with the ERAS protocols to improve postoperative outcomes in brain tumor resection.

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About this article

PMC ID: 11771829
PubMed ID: 
DOI: 10.25122/jml-2024-0280

Article Publishing Date (print): 12 2024
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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