• AANA journal · Jun 2015

    Review

    Role of Esmolol in Perioperative Analgesia and Anesthesia: A Literature Review.

    • Megan Harless, Caleb Depp, Shawn Collins, and Ian Hewer.
    • AANA J. 2015 Jun 1;83(3):167-77.

    AbstractUse of opioids to provide adequate perioperative analgesia often leads to respiratory depression, nausea, vomiting, urinary retention, pruritus, and opioid-induced hyperalgesia, with the potential to increase length of stay in the hospital. In an effort to reduce perioperative opioid administration yet provide appropriate pain relief, researchers began to study the use of esmolol beyond its well-known cardiovascular effects. Perioperative esmolol has been shown to reduce anesthetic requirements, decrease perioperative opioid use, decrease the incidence of postoperative nausea and vomiting, lead to an earlier discharge, and increase patient satisfaction. This article provides a review of the literature on the use of esmolol as an adjunct for perioperative analgesia and anesthesia.

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