Echeto-Cerrato MA, Sánchez-Hernández E, Adrián TS

Language: Spanish
References: 20
Page: 108-114
PDF size: 249.71 Kb.

ABSTRACT

Total multimodal intravenous or Opioid free anesthesia has been used since the 90's in which the notion of multimodal anesthesia was introduced as an «opioid sparing technique» and aimed to improve analgesia through the use of drugs with synergistic effects, improving not only the efficiency but also the security of anesthetic management. In the last decade it has had a major upgrade, mainly in adult patients. However, to our knowledge, its application has not been studied in pediatric patients. The esophageal diseases affecting children that most often need a colo-esophageal graft as a therapeutic measure, are esophageal atresia when anastomosis is not posible and long segment corrosive strictures with failure to dilation treatment. coloesophagic interposition, along with advances in the pharmacological management of opioid-free techniques have reduced perioperative morbidity and mortality and have freed the patient in general and the graft in particular from side effects caused by this group of analgesics. This anesthetic technique is used to achieve adequate and early restoration of gastrointestinal motility and graft perfusion, along with preventing recurrence and minimum eventualities and/or respiratory complications, such as described in this case report.

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