• Rev Bras Anestesiol · Nov 2020

    Case Reports

    [Guiding opioid-free intravenous antinociception with the Analgesia Nociception Index: a case report].

    • Sean Coeckelenbergh and Jean-Pierre Estebe.
    • Université Libre de Bruxelles, Erasme University Hospital, Department of Anesthesiology, Brussels, Belgium. Electronic address: sean.coeckelenbergh@ulb.be.
    • Rev Bras Anestesiol. 2020 Nov 1; 70 (6): 678-681.

    BackgroundOpioid-free anesthesia decreases the incidence of opioid adverse events, but its optimal antinociceptive depth has not been clearly defined. Personalizing intraoperative opioid-free infusions with a nociception monitor may be the solution.Case ReportWe describe the feasibility and potential limitations of titrating opioid-free antinociception during major abdominal surgery using the Analgesia Nociception Index (Mdoloris, Lille, France) in an obese patient. After stabilizing the patient's nociception-antinociception balance intraoperatively we quickly reversed anesthesia and the patient did not require postoperative opioids.ConclusionPersonalizing opioid-free antinociception with a nociception monitor is feasible. It may optimize intraoperative antinociception and improve postoperative comfort.Copyright © 2020 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

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