Opioid Free Anesthesia versus Opioid Based Anesthesia for Hemodynamic Stability in Geriatric Patients Undergoing Arthroscopic Shoulder Surgery, A Randomized Comparative Study

References

• Alvis BD, Hughes CG. Physiology considerations in geriatric patients. Anesthesiol Clin. 2015;33(3):447–456. doi: 10.1016/j.anclin.2015.05.003
   PubMedGoogle Scholar
• Singam NS, Fine C, Fleg JL. Cardiac changes associated with Vascular aging. Clin Cardiol. 2019;43(2):92–98. doi: 10.1002/clc.23313
   PubMed Web of Science ®Google Scholar
• Rivera R, Antognini J, Riou B, et al. Perioperative drug therapy in elderly patients. Anesthesiology. 2009;110(5):1176–1181. doi: 10.1097/aln.0b013e3181a10207
   PubMed Web of Science ®Google Scholar
• Routray SS, Routray S, Pani S, et al. Post-operative analgesia for shoulder arthroscopic surgeries: A comparison between inter-scalene block and shoulder block. Indian J Anaesth. 2019;63(5):382. doi: 10.4103/ija.ija_65_19
   PubMed Web of Science ®Google Scholar
• Choi JW, Kim DK, Jeong HJ, et al. Risk factors associated with hypotensive bradycardic events during open shoulder surgery in the beach chair position. Korean J Anesthesiol. 2021;74(1):38–44. doi: 10.4097/kja.19493
   PubMed Web of Science ®Google Scholar
• Murphy GS, Greenberg SB, Szokol JW. Safety of Beach Chair position shoulder surgery: A review of the current literature. Anesthesia & Analgesia. 2019;129(1):101–118. doi: 10.1213/ANE.0000000000004133.
   PubMed Web of Science ®Google Scholar
• Akhtar S. Pharmacological considerations in the elderly. Curr Opin Anaesthesiol. 2018;31(1):11–18. doi: 10.1097/aco.0000000000000544.
   PubMed Web of Science ®Google Scholar
• Fromme GA, MacKenzie, R A., Gould, A B., et al. Controlled hypotension for orthognathic surgery. Anesthesia & Analgesia. 1986;65(6). 683–686. doi: 10.1213/00000539-198606000-00021
   PubMed Web of Science ®Google Scholar
• Boezaart AP, van der Merwe J, Coetzee A. Comparison of sodium nitroprusside- and ESMOLOL-induced controlled hypotension for functional endoscopic sinus surgery. Can J Anaesth. 1995;42(5):373–376. doi: 10.1007/bf03015479
   PubMed Web of Science ®Google Scholar
• CHERNIK DORISA, GILLINGS D, LAINE H, et al. Validity and reliability of the observer?S. J Clin Psychopharmacol. 1990;10(4):244???251. doi: 10.1097/00004714-199008000-00003
   PubMed Web of Science ®Google Scholar
• Breivik EK, Björnsson GA, Skovlund E. A comparison of pain rating scales by sampling from clinical trial data. Clin J Pain. 2000;16(1):22–28. doi: 10.1097/00002508-200003000-00005.
   PubMed Web of Science ®Google Scholar
• HODKINSON HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing. 1972;1(4):233–238. Available at. doi: 10.1093/ageing/1.4.233
   PubMedGoogle Scholar
• Mulier J. Opioid Free General anesthesia: A paradigm shift? Rev Esp Anestesiol Reanim. 2017;64(8):427–430. doi: 10.1016/j.redare.2017.03.005.
   PubMedGoogle Scholar
• Beloeil H, Garot M, Lebuffe G, et al. Balanced opioid-free anesthesia with dexmedetomidine versus balanced anesthesia with Remifentanil for major or intermediate noncardiac surgery. Anesthesiology. 2021;134(4):541–551. doi: 10.1097/aln.0000000000003725
   PubMed Web of Science ®Google Scholar
• Eldin Abdel Hamid MH. Intravenous dexmedetomidine infusion compared with that of fentanyl in patients undergoing arthroscopic shoulder surgery under general anesthesia. Anesth Essays Res. 2017;11(4):1070. doi: 10.4103/aer.aer_148_17
   PubMedGoogle Scholar
• Olausson A, Svensson CJ, Andréll P, et al. Total opioid‐free general anaesthesia can improve postoperative outcomes after surgery, without evidence of adverse effects on patient safety and pain management: A systematic review and meta‐analysis. Acta Anaesthesiol Scand. 2022;66(2):170–185. doi: 10.1111/aas.13994
   PubMed Web of Science ®Google Scholar
• Menshawi MA, Fahim HM. Dexmedetomidine versus Remifentanil infusion for controlled hypotension in shoulder arthroscopy: A comparative study. Ain-Shams J Anesthesiol. 2020;12(1). doi: 10.1186/s42077-020-00072-z
   Web of Science ®Google Scholar
• Efstathiou G, Batistaki C, Soulioti E, et al. Opioid-free anesthesia and postoperative cognitive dysfunction after minor urological surgery: A case series study. Anesth Pain Med. 2022;12(1). doi: 10.5812/aapm.122094
   PubMedGoogle Scholar
• Kim N, Kim KH, Choi YS, et al. Effect of dexmedetomidine on early postoperative cognitive function in patients undergoing arthroscopic shoulder surgery in beach chair position: A randomized double-blind study. J Clin Med. 2022;11(11):2970. doi: 10.3390/jcm11112970
   PubMed Web of Science ®Google Scholar
• Ziemann-Gimmel P, Goldfarb AA, Koppman J, et al. Opioid-free total intravenous anaesthesia reduces postoperative nausea and vomiting in bariatric surgery beyond triple prophylaxis. Br J Anaesth. 2014;112(5):906–911. doi: 10.1093/bja/aet551
   PubMed Web of Science ®Google Scholar