Key result
Opioid-free epidural analgesia increases patient satisfaction by ~100% vs balanced general anesthesia and reduces pain.
Why the study?
Combined opioid-free analgesia with thoracic epidural may enhance recovery after bariatric surgery and reduce perioperative opioid consumption compared to balanced general anesthesia with opioids.
Does opioid-free analgesia with thoracic epidural improve pain scores and patient satisfaction in patients undergoing bariatric surgery?
Population
60 patients aged 20-50 years, ASA I-II, undergoing bariatric surgery
Comparison
Opioid-free analgesia with ultrasonic-guided thoracic epidural vs balanced general anesthesia with fentanyl
Design
Randomized controlled trial
Follow-up
24 hours postoperative
Authors
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May support opioid-free epidural strategies in bariatric surgery; hypothesis-generating and requires randomized confirmation.
RCT (n=60)
Does opioid-free analgesia with thoracic epidural improve pain scores and patient satisfaction in patients undergoing bariatric surgery?
Absolute Event Rate: 60% vs 30%
p-value: p=0.037
Opioid-free analgesia combined with thoracic epidural significantly decreases postoperative pain scores and improves patient satisfaction compared to opioid-based general anesthesia in bariatric surgery.
Ibrahim et al. (2021) conducted an RCT in Bariatric surgery (n=60). Opioid free analgesia (OFA) with ultrasonic guided thoracic epidural (TE) vs. Balanced general anesthesia (BGA) was evaluated on Patient satisfaction (p=0.037). Opioid-free analgesia with thoracic epidural significantly increased patient satisfaction compared to balanced general anesthesia (60% vs 30%, p=0.037) and decreased 24-hour postoperative pain scores.
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