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- Kelsey M Repine, Adrian Hendrickse, Timothy T Tran, Karsten Bartels, and Ana Fernandez-Bustamante.
- From the University of Colorado School of Medicine, Aurora, Colorado.
- A A Pract. 2020 Jun 1; 14 (8): e01238e01238.
AbstractOpioid-free perioperative approaches hold promise to reduce opioid use after surgery and their associated side effects. Here, we report the perioperative analgesic plan of a patient who requested opioid-free care for an open partial hepatectomy. Opioid-free anesthesia care for abdominal surgery is usually dependent on epidural analgesia. However, as in this case, placing an epidural is not always an option due to contraindications such as infection, coagulopathy, or patient refusal. Our multimodal management plan provided an alternative opioid-free, epidural-free perioperative strategy that may prove useful for other patients undergoing similar surgeries.
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