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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2025; 79(6): 465–468. doi: 10.48095/ccgh2025465.

Multimodal opioid-sparing total intravenous anesthesia in bariatric surgery – initial experience

Milan Hrobský1,2, Tomáš Henlín1, Jiří Blažek2, Petra Šrámková2, Martin Fried2

+ Affiliation

Summary

Obesity represents a significant challenge for anesthesia management due to different drug pharmacodynamics and an increased risk of perioperative complications. Multimodal opioid-sparing total intravenous anesthesia is one of the options for positively influencing these complications. Since opioid-sparing methods are still considered by most anesthesiologists to be the only alternative techniques, we present our initial experiences and a comparison with inhalation anesthesia in laparoscopy as inspiration for others.


Keywords

obesity, opioid-sparing anesthesia, multimodal techniques, TIVA, anesthesia depth monitoring

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