Opioid-free Anesthesia in Thoracic Surgery
Opioid-free Anesthesia in Thoracic Surgery
No study has been conducted to demonstrate the feasibility and safety of an Opioid-Free
 Anesthesia (OFA) protocol compared to Opioid-Based Anesthesia (OBA) in thoracic surgery, at
 risk for intense post-operative pain, to improve patient care. The aim of the present study
 was to evaluate the effect of OFA on post-operative opioids consumption, pain and the
 post-operative period after lobectomy by Video-Assisted Thoracoscopy Surgery (VATS). systems.

 Investigators perform a retrospective, single-center study in 2019. Patients were divided
 into two groups: OFA (with dexmedetomidine) or OBA (sufentanyl).

 Investigators analyse the total postoperative opioid consumption in the 48 h after surgery.
 Investigators asses pain intensity in the 48 h after surgery, operative hemodynamic
 stability, Post-Operative Pain (POP) in Post-Anesthesia Care Unit (PACU) and POP on day 30.

 All data are available in the medical record

 Hypothesis: OFA can reduce post-operative opioids consumption, pain in lobectomy by
 video-assisted thoracoscopy surgery (VATS).
Inclusion Criteria:

 -  All consecutive patients admitted for lobectomy or wedge video-assisted thoracoscopy

 -  Opioid Free Anesthesia (OFA) administration was left to the discretion of the
 attending anesthetist according to his or her practices and habits.

 -  age 18 or over

 -  lobectomy or wedge resection by Video-Assisted Thoracoscopy Surgery (VATS)

 Exclusion Criteria:

 -  toxicomania,

 -  epidural analgesia use,

 -  thoracotomy conversion

 -  Patient-Controlled Analgesia with morphine (PCA)

 -  Patient who object to take part of the study.