Free Opioid Anesthesia in Cancer Patient Undergoing Total Thyroidectomy and Functional Neck Dissection Dextra: A Case Report

I. P. E. Ariyasa, Tjokorda Gede Agung Senapathi, Tjahya Aryasa E.M.
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Abstract

Background: The use of large doses of opioids perioperatively has been found to be associated with early recurrence in patients undergoing surgery for primary cancer. This study aimed to describe the use of opioid free anesthesia in cancer patients. Case presentation: A 72-year-old man with a diagnosis of papillary adenocarcinoma thyroid underwent total thyroidectomy and dextra functional neck dissection. The results of the preoperative assessment stated that the patient had ASA III physical status and would undergo general anesthesia (GA-OTT) and regional anesthesia peripheral nerve block (RA-PNB BPSS). Conclusion: Nonopioid regimens are recommended for pain control in the perioperative and postoperative periods in some cases. The application of free opioids can reduce opioid dependence in patients who routinely receive opioid prescriptions after discharge.
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游离阿片类药物麻醉在肿瘤患者甲状腺全切除术和功能性颈部清扫术中的应用:1例报告
背景:围手术期使用大剂量阿片类药物与原发性癌症手术患者早期复发有关。本研究旨在描述无阿片类药物麻醉在癌症患者中的应用。病例介绍:一名72岁男性,诊断为甲状腺乳头状腺癌,行甲状腺全切除术和右功能性颈部清扫术。术前评估结果显示患者身体状态为ASA III级,将行全身麻醉(GA-OTT)和区域麻醉周围神经阻滞(RA-PNB BPSS)。结论:在某些情况下,非阿片类药物方案可用于围手术期和术后疼痛控制。游离阿片类药物的应用可以减少出院后常规接受阿片类药物处方的患者对阿片类药物的依赖。
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