Opioid Free Anesthesia Clinical Trial
Official title:
The Effect of Opioid-free Anesthesia on Postoperative Analgesia-related Adverse Reactions in Lung Resection With Video-assisted Thoracoscopic Access: a Randomized Double-blind Controlled Study
A comparison of incidences of postoperative opioid-related adverse effects and recovery parameters in patients undergoing video-assisted thoracoscopic surgery (VATS) lung resection receiving opioid or opioid-free general anesthesia (OFA).
Video-assisted thoracoscopic surgery (VATS) lung resection is traditionally performed under
general anesthesia with opioid‑based analgesia. It is associated with higher incidences of
respiratory depression, hypotension, postoperative nausea and vomiting (PONV), dizziness,
constipation and urinary retention, and more severe acute postoperative pain.
The purpose of our study is to compare the opioid‑free general anesthesia with the
opioid‑based general anesthesia with respect to the primary outcome measures of the total
incidence of opioid-related adverse effects (including respiratory depression, hypotension,
PONV and dizziness) and secondary outcome measures of incidence of intraoperative and
postoperative cardiovascular complications, pain relief, analgesic requirement , and other
postoperative recovery parameters [e.g. duration of tracheal extubation, departing from
post-anaesthesia care unit (PACU), exhaust, defecation, and stay in hospital
postoperatively].
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