Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2021  |  Volume : 15  |  Issue : 4  |  Page : 450--453

Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant


Ramon Eizaga Rebollar, Elena Borreiros Rodríguez, Irene Delgado Olmos, Luis Miguel Torres Morera 
 Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain

Correspondence Address:
Ramon Eizaga Rebollar
Puerta del Mar University Hospital, Ana de Viya, 21, 11009 Cádiz
Spain

Despite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) combined with transversus abdominis plane (TAP) block with Dexmedetomidine (DEX). Perioperative opioids were entirely avoided, and intraoperative anesthetics and postoperative analgesic were considerably reduced. The infant showed cardiorespiratory stability and optimal analgesia during the uneventful procedure and the postoperative period. We consider OFA and TAP block with DEX a safe and effective anesthetic combination for high-risk infants.


How to cite this article:
Rebollar RE, Rodríguez EB, Olmos ID, Torres Morera LM. Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant.Saudi J Anaesth 2021;15:450-453


How to cite this URL:
Rebollar RE, Rodríguez EB, Olmos ID, Torres Morera LM. Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant. Saudi J Anaesth [serial online] 2021 [cited 2022 Jul 3 ];15:450-453
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=4;spage=450;epage=453;aulast=Rebollar;type=0