Pain medicine

Oliceridine for postoperative pain and opioid-related complications: The intravenous oliceridine and opioid-related complications (VOLITION) prospective cohort study

J Clin AnesthPublished Prospective cohort study

Authors' conclusion

Nearly one quarter of patients experienced a respiratory compromise with oliceridine analgesia, none of which was life-threatening.

Study context

Population
Patients scheduled for major noncardiac surgery197 with cardiorespiratory data analysed
Participants
204 patients
Outcome
Respiratory compromise
Follow-up
Initial two postoperative days
Methodological detailssingle-group, adjudicated respiratory events, Continuous monitoring with pulse oximetry, capnography and plethysmography, Respiratory events adjudicated by two independent expert reviewers
  • Single-group
  • Adjudicated respiratory events
  • Continuous monitoring with pulse oximetry, capnography and plethysmography
  • Respiratory events adjudicated by two independent expert reviewers

Main finding

As reported in the abstract

GroupValueAdjudicated episodes
Oliceridine23 %174

Oliceridine

Value23 %
Adjudicated episodes174

Observational data: associations, not effects.

Further findings

Complete gastrointestinal response (no vomiting and no rescue antiemetic use; exploratory)

Patients with a complete gastrointestinal response
107 (53 %)
  • Exploratory

Deaths, oliceridine-related serious AEs, naloxone reversal

Naloxone opioid reversal never required
0
No deaths or oliceridine-related serious adverse events

Safety

Delirium (screening criteria met)

Patients meeting screening criteria for delirium
8

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Oliceridine for postoperative pain and opioid-related complications: The intravenous oliceridine and opioid-related complications (VOLITION) prospective cohort study. J Clin Anesth. Published 29 May 2025. doi:10.1016/j.jclinane.2025.111870

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