Pediatric anesthesia & critical care
Outcomes for 41 260 pediatric surgical patients with opioid‐free anesthesia: One center's experience
Authors' conclusion
These QI projects demonstrated that most pediatric ambulatory and select inpatient surgeries are amenable to OFA techniques which may reduce PONV without worsening pain.
Study context
- Population
- Pediatric surgical patients, ambulatory surgery center and hospital (select procedures), January 1, 2016 to September 30, 2022
- Participants
- 28,574 vs 64,859
- Comparison
- Opioid-free anesthesia (OFA) adoption in ambulatory surgery center and hospital
- Ambulatory surgery center (ASC)n = 28,574
- Hospitaln = 64,859
- Outcome
- OFA adoption
Methodological detailsseries of Quality Improvement (QI) projects, statistical process control charts, single-centre
- Series of QI projects
- Statistical process control charts
- Single-centre
Main finding
As reported in the abstract
OFA use, start
OFA use, end
Further findings
ASC: Post Anesthesia Care Unit (PACU) maximum pain score, opioid-rescue rate, postoperative nausea and vomiting (PONV) treatment
- All decreased concomitantly
Hospital: opioid rescue rate, PONV treatment in PACU, maximum pain scores, LOS
- Opioid rescue rate and PONV treatment in PACU decreased; hospital maximum pain scores and LOS stable
Adenotonsillectomy: relaxed admission criteria
- Hospital patient days saved
- 52
Laparoscopic appendectomy: mean hospital LOS
- Hospital patient days saved per year
- >500
- Mean hospital LOS decreased from 2.9 to 1.4 days
- Concomitant with transition to OFA
Original publication
Outcomes for 41 260 pediatric surgical patients with opioid‐free anesthesia: One center's experience. Paediatr Anaesth. Published 10 June 2023. doi:10.
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