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Jildenstål, Pether
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Publications (10 of 18) Show all publications
Jildenstål, P., Viseu, C., Hermander, K., Sjöberg, C., Hallén, K., Schnorbus, R. & Augustinsson, A. (2025). Perceptions of eHealth and digitalization among professional anaesthesia personnel: A Swedish national study. Acta Anaesthesiologica Scandinavica, 69(3), Article ID e14587.
Open this publication in new window or tab >>Perceptions of eHealth and digitalization among professional anaesthesia personnel: A Swedish national study
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2025 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 69, no 3, article id e14587Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The objective of this study was to evaluate anaesthesia care professionals' perceptions and attitudes regarding the implementation and advancement of digital solutions in perioperative care.

METHODS: Anaesthesia personnel working in public Swedish institutions where anaesthesia is administered were invited to respond to an online survey regarding their attitudes towards digitalization in the workplace and their perceptions of information provision and future digitalization within anaesthesia and surgical healthcare. Data were analyzed using descriptive statistics, independent-samples Kruskal-Wallis tests, and post-hoc pairwise comparisons.

RESULTS: The survey response rate was 64.0% (n = 627). Most respondents agreed/strongly agreed that digital solutions facilitate their work, the preoperative preparation, patient participation, and being involved in the patients' journeys throughout the perioperative care process. The majority also agreed/strongly agreed that digital solutions could make more patients adequately prepared before anaesthesia/surgery, reduce the number of non-optimized patients, and adapt the perioperative process to the patients' individual needs, as well as lead to reduced costs for the healthcare provider and reduced cancelled anaesthesia/surgeries. However, there were statistically significant differences between responses in relation to age groups, where the largest differences were observed between respondents in the age groups 20-30 and 61-70 years and in relation to what part of Sweden respondents worked in, with the largest differences between respondents working in Southern Sweden and the middle part of Sweden.

CONCLUSION: Swedish anaesthesia personnel are confident that digital solutions may enhance the efficiency of care within the anaesthesia setting. However, varying perceptions on the benefits and necessity of digital solutions are indicated.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
anaesthesia, digitalization, eHealth, surgery
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-119116 (URN)10.1111/aas.14587 (DOI)001409151300001 ()39887990 (PubMedID)2-s2.0-85216649106 (Scopus ID)
Available from: 2025-02-06 Created: 2025-02-06 Last updated: 2025-02-17Bibliographically approved
Norbeck, D. W., Lindgren, S., Wolf, A. & Jildenstål, P. (2025). Reliability of nociceptive monitors vs. standard practice during general anesthesia: a prospective observational study. BMC Anesthesiology, 25(1), Article ID 51.
Open this publication in new window or tab >>Reliability of nociceptive monitors vs. standard practice during general anesthesia: a prospective observational study
2025 (English)In: BMC Anesthesiology, E-ISSN 1471-2253, Vol. 25, no 1, article id 51Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Inadequate or excessive nociceptive control during general anesthesia can result in significant adverse outcomes. Using traditional clinical variables, such as heart rate, systolic blood pressure, and respiratory rate, to assess and manage nociceptive responses is often insufficient and could lead to overtreatment with both anesthetics and opioids. This study evaluated the feasibility and effectiveness of three nociception monitoring techniques Nociception Level Index (NOL), Skin Conductance Algesimeter (SCA) and heart rate monitoring in patients undergoing image-guided, minimally invasive abdominal interventions under general anesthesia.

METHOD: This prospective observational study collected data from 2022 to 2024. All patients were anesthetized according to the department's routine, and predetermined events were recorded. Two commercially available nociception monitors, the PMD-200 from Medasense (NOL) and PainSensor from MedStorm (SCA), were used, and their data were collected along with various hemodynamic parameters. The three nociception monitoring techniques were compared during predetermined events.

RESULT: A total of 49 patients were included in this study. NOL and SCA demonstrated higher responsiveness than HR for all events except for skin incision. The comparison of the values above and below the threshold for each nociceptive stimulus showed significance for all measurements using the SCA and NOL. However, using HR as a surrogate for nociception with a threshold of a 10% increase from baseline, the difference was significant only at skin incision. There was no variation in the peak values attributable to differences in patients' age. Weight was a significant predictor of the peak NOL values.

CONCLUSION: NOL and SCA demonstrated superior sensitivity and responsiveness to nociceptive stimuli compared to HR, effectively detecting significant changes in nociceptive thresholds across various stimuli, although responses during skin incision showed no such advantage.

TRIAL REGISTRATION: Clinical trial - NCT05218551.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2025
Keywords
Analgesia, And intraoperative analgesia, Anesthesia monitoring, Minimally invasive abdominal interventions, Nociception level index (NOL), Nociception monitoring, PainSensor, Post-operative pain, Skin conductance algesimeter (SCA), Surgical pain management
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-119119 (URN)10.1186/s12871-025-02923-4 (DOI)001412316600002 ()39891061 (PubMedID)
Funder
University of GothenburgRegion Västra Götaland
Available from: 2025-02-06 Created: 2025-02-06 Last updated: 2025-02-17Bibliographically approved
Sjöberg, C., Ringdal, M., Lundqvist, P. & Jildenstål, P. (2024). How to Achieve Highly Professional Care in the Postoperative Ward: The Care of Infants and Toddlers. Journal of Perianesthesia Nursing
Open this publication in new window or tab >>How to Achieve Highly Professional Care in the Postoperative Ward: The Care of Infants and Toddlers
2024 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: The purpose of this study was to describe the experiences of critical care nurses (CCNs) and registered nurse anesthetists (RNAs) when monitoring and observing infants and toddlers recovering from anesthesia. DESIGN: A qualitative design with a critical incident approach.

METHODS: Semistructured individual interviews were conducted with a purposeful sample of CCNs and RNAs (n = 17) from postanesthesia care units at two hospitals. The critical incident technique approach was used to guide the interviews, and data were analyzed inductively using thematic analysis.

FINDINGS: The main finding was the CCNs' and RNAs' description of how they "watch over the children and stay close" to provide emotional and physical safety. CCNs' and RNAs' experiences of observing and managing the children's small, immature airways were reflected in the theme "using situation awareness of the small, immature airways." The theme "understanding emergence agitation" describes the challenge that arises when children are anxious, feel insecure, and have pain, and the theme "having parents nearby" shows the necessity and value of involving parents in their children's care.

CONCLUSIONS: Findings from this study suggest that caring for infants and toddlers recovering from anesthesia requires experience and both technical and nontechnical skills. These are prerequisites for achieving readiness for planning, setting priorities, and adapting one's behavior if an adverse event occurs. Alertness and the ability to solve acute problems and make quick decisions are essential because of the risks associated with children's small, immature airways, as is the ability to understand and respond to emergence agitation. Having parents nearby is equally important for creating the conditions for compassionate child- and family-centered care.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
General anesthesia, infant, postanesthesia care unit, postoperative care, toddler
National Category
Anesthesiology and Intensive Care Nursing
Identifiers
urn:nbn:se:oru:diva-114608 (URN)10.1016/j.jopan.2024.03.019 (DOI)38958626 (PubMedID)2-s2.0-85197291654 (Scopus ID)
Available from: 2024-07-04 Created: 2024-07-04 Last updated: 2025-01-20Bibliographically approved
Diwan, S., Vilhelmsson, A., Wolf, A. & Jildenstål, P. (2024). Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions: a systematic scoping review. Journal of international medical research, 52(9), Article ID 3000605241272733.
Open this publication in new window or tab >>Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions: a systematic scoping review
2024 (English)In: Journal of international medical research, ISSN 0300-0605, E-ISSN 1473-2300, Vol. 52, no 9, article id 3000605241272733Article, review/survey (Refereed) Published
Abstract [en]

OBJECTIVE: This systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings.

METHODS: A systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation.

RESULTS: Six nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and providing feedback. Moreover, 32 studies used the electronic health record as an implementation method, and 29 reported significant results. Most of the effective interventions were multicomponent interventions (i.e., combining nudge strategies and non-nudge components).

CONCLUSIONS: Most nudging strategies used a passive approach, such as defaulting prescriptions to generics and requiring no action from the prescriber. Although reported as effective, this approach often operates under the prescriber's radar. Future research should explore the ethical implications of nudging strategies.

INPLASY registration number: 202420082.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
Nudging, choice architecture, electronic health record, healthcare professional, healthcare setting, multicomponent intervention, opioid prescription, prescriber behavior change
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-115940 (URN)10.1177/03000605241272733 (DOI)001312436100001 ()39258400 (PubMedID)2-s2.0-85204024552 (Scopus ID)
Funder
Swedish Research Council, 2021-01166University of Gothenburg
Note

This study was funded by the Swedish Research Council (project 2021-01166) and by the University of Gothenburg Centre for Person-Centred Care (GPCC), Sweden. The GPCC is funded by a grant from the Swedish Government for Strategic Research Areas (Care Sciences) and the University of Gothenburg, Sweden.

Available from: 2024-09-12 Created: 2024-09-12 Last updated: 2024-10-01Bibliographically approved
Olausson, A., Angelini, E., Heckemann, B., Andréll, P., Jildenstål, P., Thörn, S.-E. & Wolf, A. (2024). Patients' perioperative experiences of an opioid-free versus opioid-based care pathway for laparoscopic bariatric surgery: A qualitative study. International Journal of Nursing Studies Advances, 6, Article ID 100201.
Open this publication in new window or tab >>Patients' perioperative experiences of an opioid-free versus opioid-based care pathway for laparoscopic bariatric surgery: A qualitative study
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2024 (English)In: International Journal of Nursing Studies Advances, E-ISSN 2666-142X, Vol. 6, article id 100201Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite recent evidence supporting the adoption of opioid-free anaesthetic and analgesic alternatives in the perioperative context, opioid-based regimens remain standard of care. There is limited knowledge about the patients' perioperative experiences of bariatric surgery, with no study yet investigating their experiences within an opioid-free care pathway.

OBJECTIVE: We aimed to describe similarities and differences in patients' perioperative experiences of undergoing bariatric surgery with either an opioid-free or opioid-based care pathway.

DESIGN: A qualitative interview study.

SETTING: A strategic sample of patients enrolled in an ongoing randomized controlled trial investigating the effects of opioid-free anaesthesia for bariatric surgery were recruited. In the randomized controlled trial, participants were randomized to either opioid-based anaesthesia or opioid-free anaesthesia, including transcutaneous electrical nerve stimulation as primary postoperative pain management.

PARTICIPANTS: Twenty patients were interviewed 3 months after surgery: 10 participants in the opioid-free group versus 10 in the opioid-based group.

METHODS: Semi-structured interviews were conducted between December 2020 and February 2022 and analysed with qualitative content analysis.

RESULTS: The analysis yielded four categories and 12 subcategories. In Category 1, participants shared diverse emotions before surgery, including anticipation of a healthier life, but also apprehensions and feelings of failure. In Category 2, describing liminality of general anaesthesia, there were similar descriptions of struggling to remember the anaesthesia induction and struggling to surface when recovering from anaesthesia. However, some participants in the opioid-free group shared descriptions of struggling to keep control, describing accentuated memories of the anaesthesia induction. Category 3, managing your pain, showed similar experiences and strategies but different narrations of pain management, with the opioid-free group stating that transcutaneous electrical nerve stimulation works but not when it really hurts, and the opioid-based group describing confidence in but awareness of opioids. Throughout the overall perioperative time period, participants acknowledged Category 4, a patient-professional presence, stating that preparations boost the feeling of confidence before surgery and that they felt confidence in a vulnerable situation although vulnerability challenges communication.

CONCLUSIONS: We highlighted the overall similarities in perioperative experiences of patients undergoing bariatric surgery. However, the differences in experiences during opioid-free anaesthesia induction need to be addressed in further implementation and research studies investigating strategies to reduce the sense of loss of control. More research is needed to facilitate the implementation of opioid-free treatment strategies into clinical practice and improve the patient care experience.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Bariatric surgery, Nursing research, Opioid-free anaesthesia, Patient experience, Perioperative care
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-113694 (URN)10.1016/j.ijnsa.2024.100201 (DOI)001216817200001 ()38746814 (PubMedID)2-s2.0-85190987053 (Scopus ID)
Available from: 2024-05-21 Created: 2024-05-21 Last updated: 2024-06-20Bibliographically approved
Sjöberg, C., Ringdal, M. & Jildenstål, P. (2024). Postoperative Recovery in the Youngest: Beyond Technology. Children, 11(8), Article ID 1021.
Open this publication in new window or tab >>Postoperative Recovery in the Youngest: Beyond Technology
2024 (English)In: Children, E-ISSN 2227-9067, Vol. 11, no 8, article id 1021Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Measuring and interpreting vital signs in pediatric patients recovering from anaesthesia, particularly those up to 36 months old, is challenging. Nurses' decision-making regarding the level of monitoring must balance patient safety with individualized care. This study aimed to explore the perceptions of critical care nurses and registered nurse anesthetists regarding their experiences and actions when making decisions about vital sign monitoring for children in post-anesthesia care units (PACUs).

METHODS: A qualitative study utilizing the critical incident technique was conducted. Interviews were performed with a purposeful sample of 17 critical care nurses and registered nurse anaesthetists from two hospitals.

RESULTS: Nurses reported that the rationale for decisions concerning the need for vital sign monitoring in children was both adequate and inadequate. Actions were taken to adjust the monitoring of vital signs, optimizing conditions for assessment and ensuring the child's safe recovery.

CONCLUSIONS: The complexity of accurately monitoring children makes it challenging for nurses in the PACU to adhere to guidelines. Evidence-based care and safety are compromised when technology has limitations and is not adapted for paediatric use, leading to a greater reliance on experience and clinical assessment. This reliance on experience is crucial for reliable assessment but also entails accepting greater risks.

Place, publisher, year, edition, pages
MDPI, 2024
Keywords
Clinical nursing research, paediatrics, patient safety, postoperative care, vital signs
National Category
Pediatrics Nursing
Identifiers
urn:nbn:se:oru:diva-115704 (URN)10.3390/children11081021 (DOI)001305037700001 ()39201955 (PubMedID)2-s2.0-85202516649 (Scopus ID)
Available from: 2024-09-02 Created: 2024-09-02 Last updated: 2024-09-19Bibliographically approved
Augustinsson, A., Franze, E., Almqvist, M., Warrén Stomberg, M., Sjöberg, C. & Jildenstål, P. (2024). Red-Haired People's Altered Responsiveness to Pain, Analgesics, and Hypnotics: Myth or Fact? A Narrative Review. Journal of Personalized Medicine, 14(6), Article ID 583.
Open this publication in new window or tab >>Red-Haired People's Altered Responsiveness to Pain, Analgesics, and Hypnotics: Myth or Fact? A Narrative Review
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2024 (English)In: Journal of Personalized Medicine, E-ISSN 2075-4426, Vol. 14, no 6, article id 583Article, review/survey (Refereed) Published
Abstract [en]

Red hair has been linked to altered sensitivity to pain, analgesics, and hypnotics. This alteration may be impacted by variants in the melanocortin-1 receptor (MC1R) gene, which are mainly found in redheads. The aim of this narrative review was to explore and present the current state of knowledge on red hair and its plausible associations with altered responsiveness to pain, analgesics, and hypnotics. Structured searches in the PubMed, CINAHL Complete, and Scopus electronic databases were conducted. Evidence suggests that women with red hair have an increased sensitivity to pain. Conversely, data also indicate a higher pain tolerance in homozygous carriers of MC1R variant alleles. Varied responses to analgesia have been reported, with both increased analgesic responsiveness in homozygous carriers of MC1R variant alleles and less analgesia in redheads. Data indicate an increased need for hypnotics in redheads. However, failed attempts to find statistical associations between red hair and altered responsiveness to hypnotics are also evident. Even though there seems to be an association between red hair and an altered responsiveness to pain, analgesics, and/or hypnotics, the results of this narrative review are inconclusive. Further research studies with larger populations and MC1R testing are needed.

Place, publisher, year, edition, pages
MDPI, 2024
Keywords
MC1R, analgesics, hypnotics, melanocortin-1 receptor, pain, redheads, response
National Category
Medical Genetics and Genomics
Identifiers
urn:nbn:se:oru:diva-114469 (URN)10.3390/jpm14060583 (DOI)001255961700001 ()38929804 (PubMedID)2-s2.0-85196895986 (Scopus ID)
Available from: 2024-06-28 Created: 2024-06-28 Last updated: 2025-02-10Bibliographically approved
Sjöberg, C., Söderström, F., Larsson, S. & Jildenstål, P. (2023). Registered Nurse Anesthetists' Perceptions of Providing Care Within a Global Health Framework: A Qualitative Study. Journal of Perianesthesia Nursing, 38(4), 604-610
Open this publication in new window or tab >>Registered Nurse Anesthetists' Perceptions of Providing Care Within a Global Health Framework: A Qualitative Study
2023 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 38, no 4, p. 604-610Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of this study was to investigate how Registered Nurse Anesthetists (RNAs) who have been working for nongovernmental organizations in low- and middle-income countries perceive their role in global health.

DESIGN: A qualitative design was used in this study.

METHODS: Data were collected by means of semistructured interviews with 11 participants who met the inclusion criteria, and qualitative analysis of the interview content was performed.

FINDINGS: The analysis resulted in three categories and six subcategories. Of the categories, "Using skills" includes the respondents' varying levels of responsibility, tasks, and perceptions of how far they are applying their expertise. "Encountering new cultures" is about adapting to new cultural norms in nursing, education, and cooperation in the international team. "Promoting change through volunteerism" comprises personal and professional development, and impact - both local and potentially global.

CONCLUSIONS: This study highlights the relevance of RNAs in global health and emphasizes the cultural encounters, exchanges, and challenges associated with volunteer medical missions. RNAs' knowledge of, and humble approach to the host country's culture are essential for their ability to provide nursing care, engage in cooperation and training, and promote global health in a high-quality, sustainable and effective way.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Anesthesia, global health, qualitative research, registered nurse anesthetists (RNAs), transcultural nursing
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-103894 (URN)10.1016/j.jopan.2022.11.003 (DOI)001052223700001 ()36717345 (PubMedID)2-s2.0-85147118271 (Scopus ID)
Available from: 2023-01-31 Created: 2023-01-31 Last updated: 2023-09-08Bibliographically approved
Jildenstål, P., Bäckström, A., Hedman, K. & Warrén-Stomberg, M. (2022). Spectral edge frequency during general anaesthesia: A narrative literature review.. Journal of international medical research, 50(8), Article ID 3000605221118682.
Open this publication in new window or tab >>Spectral edge frequency during general anaesthesia: A narrative literature review.
2022 (English)In: Journal of international medical research, ISSN 0300-0605, E-ISSN 1473-2300, Vol. 50, no 8, article id 3000605221118682Article, review/survey (Refereed) Published
Abstract [en]

Previous studies have attempted to determine the depth of anaesthesia with different anaesthetic agents using electroencephalogram (EEG) measurements with variable success. Measuring depth of anaesthesia is confounded by the complexity of the EEG and the fact that different agents create different pattens. A narrative review was undertaken to examine the available research evidence on the effect and reliability of spectral edge frequency (SEF) for assessing the depth of anaesthesia in adult patients under general anaesthesia. A systematic search of the PubMed®, Scopus®, CINAHL and Cochrane databases identified six randomized controlled trials and five observational studies. The findings of these studies suggest that SEF varies according to the anaesthetic drugs used. Remifentanil and age are two factors that can affect SEF, while other opioids and benzodiazepine (administered separately) seem to have no effect. No patients experienced intraoperative awareness. However, this does not indicate that SEF can provide full protection against it and the number of articles in which intraoperative awareness was studied was too small to afford any certainty. None of the studies demonstrated a reliable SEF interval associated with adequate general anaesthesia. SEF must be adapted to the anaesthetic drug used, the patient's age and state while under general anaesthesia.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
Anaesthesia, depth of anaesthesia, electroencephalogram, spectral edge frequency, surgery
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-100688 (URN)10.1177/03000605221118682 (DOI)000842894400001 ()35971317 (PubMedID)2-s2.0-85136001218 (Scopus ID)
Available from: 2022-08-16 Created: 2022-08-16 Last updated: 2023-05-22Bibliographically approved
Olausson, A., Svensson, J., Andréll, P., Jildenstål, P., Thörn, S.-E. & Wolf, A. (2022). Total opioid-free general anaesthesia can improve postoperative outcomes after surgery, without evidence of adverse effects on patient safety and pain management: a systematic review and meta-analysis. Acta Anaesthesiologica Scandinavica, 66(2), 170-185
Open this publication in new window or tab >>Total opioid-free general anaesthesia can improve postoperative outcomes after surgery, without evidence of adverse effects on patient safety and pain management: a systematic review and meta-analysis
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2022 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 66, no 2, p. 170-185Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND:  Opioid-based treatment is used to manage stress responses during surgery and postoperative pain. However, opioids have both acute and long-term side-effects, calling for opioid-free anaesthetic strategies. This meta-analysis compares adverse events, postoperative recovery, discharge time from post-anaesthesia care unit, and postoperative pain, nausea, vomiting, and opioid consumption between strict opioid-free with opioid-based general anaesthesia.

METHODS:  We conducted a systematic review and meta-analysis. We searched PubMed, Embase, Cinahl, Cochrane Library, selected reference lists, and Google Scholar. We included randomised controlled trials (RCTs) published between January 2000 and February 2021 with at least one opioid-free study arm, i.e. no opioids administered preoperatively, during anaesthesia induction, before skin closure, or before emergence from anaesthesia.

RESULTS:  The study comprised 1934 patients from 26 RCTs. Common interventions included laparoscopic gynaecological surgery, upper gastrointestinal surgery, and breast surgery. There is firm evidence that opioid-free anaesthesia significantly reduced adverse post-operative events (OR 0.32, 95% CI 0.22 to 0.46, I2 =56%, p<0.00001), mainly driven by decreased nausea (OR 0.27, (0.17 to 0.42), p<0,00001) and vomiting (OR 0.22 (0.11 to 0.41), p<0.00001). Postoperative opioid consumption was significantly lower in the opioid-free group (-6.00 mg (-8.52 to -3.48), p<0.00001). There was no significant difference in length of post-anaesthesia care unit stay and overall postoperative pain between groups.

CONCLUSIONS:  Opioid-free anaesthesia can improve postoperative outcomes in several surgical settings without evidence of adverse effects on patient safety and pain management. There is a need for more evidence-based non-opioid anaesthetic protocols for different types of surgery as well as postoperative phases.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2022
Keywords
Adverse events, OFA, Opioid consumption, Opioid-free anaesthesia, Postoperative nausea and vomiting, Postoperative pain, Recovery
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-95306 (URN)10.1111/aas.13994 (DOI)000717406800001 ()34724195 (PubMedID)2-s2.0-85118844515 (Scopus ID)
Note

Funding agencies:

Swedish county councils ALF agreement ALFGBG-815051

Department of Anesthesiology and Intensive Care Medicine, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden

Available from: 2021-11-03 Created: 2021-11-03 Last updated: 2022-02-01Bibliographically approved
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