Anesthetic drugs & techniques

Impact on Anesthetic Agent Consumption After Autonomic Neural Blockade as Part of a Combined Anesthesia Protocol: A Randomized Clinical Trial

Anesth AnalgPublished Randomised controlled trial

Primary result · Remifentanil consumptionResult — go to the resultMean difference −0.04 mcg/kg/min 95% CI −0.06 to −0.02

Authors' conclusion

Performing ANB at the onset of LSG is a safe and effective approach that reduces remifentanil consumption and promotes hemodynamic stability during the procedure.

Study context

Population
Patients undergoing laparoscopic sleeve gastrectomy (LSG)included for analysis
Participants
80 patients
Comparison
Autonomic neural blockade (ANB) at the onset vs at the end of LSG
  • ANB at the onsetn = 40
  • Controln = 40reference
Primary endpoint
Consumption of remifentanil and sevoflurane
Methodological detailsprospective, double-blinded, 2 high-volume institutions
  • Prospective
  • Double-blinded
  • 2 high-volume institutions

Primary result

Remifentanil consumption

Mean difference

−0.04 mcg/kg/min

95% CI −0.06 to −0.02

P < 0.0001

ANB at the onset vs Control
mean difference −0.04 mcg/kg/min (95% CI −0.06 to −0.02); P < 0.0001

As reported in the abstract

Secondary outcomes

Aldrete scale scores in recovery room

No differences between the 2 groups

Intraoperative mean HR and mean arterial pressure (MAP)

Significantly less during surgery in the ANB at the onset group

Safety

No complications related to the ANB occurred

Original publication

Impact on Anesthetic Agent Consumption After Autonomic Neural Blockade as Part of a Combined Anesthesia Protocol: A Randomized Clinical Trial. Anesth Analg. Published 13 December 2023. doi:10.1213/ane.0000000000006769

Composed by AI from the published abstract and checked against it. How Briefs are made →

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