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Case Reports
. 2024 Aug 30;16(8):e68196.
doi: 10.7759/cureus.68196. eCollection 2024 Aug.

Opioid-Free Anesthesia in a Young Female Undergoing Emergency Videolaparoscopic Appendectomy: A Case Report

Stefano Barbaro  1 , Pierdomenico Carone  1 , Laura Lanotte  2 , Ester Scapini  1 , Michele Debitonto  1
Affiliations
Case Reports

Opioid-Free Anesthesia in a Young Female Undergoing Emergency Videolaparoscopic Appendectomy: A Case Report

Stefano Barbaro et al. Cureus. .

Abstract

Opioids are one of the main classes of drugs used in anesthesia, both for the intraoperative and postoperative period, for a multitude of surgical procedures. In recent years, anesthetic techniques have been developed that reduce or avoid the use of opioids and their side effects. One of these is opioid-free anesthesia, which does not involve the use of opioid drugs in the intraoperative period. In this case report, we used this anesthetic technique for an emergency videolaparoscopic appendectomy for a young woman in a state of sepsis with a history of previous surgery for the removal of a voluminous ovarian cyst.

Keywords: anesthesia; general anesthesia; opioid free anesthesia; opioids; pain management.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Acute appendicitis on CT scan
The presence of pronounced dilatation (approximately 2 cm in diameter) and uneven thickening of the walls of the vermiform appendix indicates the presence of brief endoluminal calcific formations, likely attributed to coprolites.
See this image and copyright information in PMC

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