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2026, Number S1

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Rev Mex Anest 2026; 49 (S1)

Multimodal analgesia and regional anesthesia in obese patients

Minutti-Palacios M
Full text How to cite this article

Language: Spanish
References: 20
Page: 400-404
PDF size: 856.89 Kb.


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REFERENCES

  1. Stenberg E, dos Reis FalcAo LF, O’Kane M, Liem R, Pournaras DJ,Salminen P, et al. Guidelines for perioperative care in bariatric surgery:Enhanced Recovery After Surgery (ERAS) Society Recommendations:a 2021 update. World J Surg. 2022;46:729-751.

  2. Ahmad K, Bhatt DL, Khan A, Bhatt N. Regional anesthesia in bariatricsurgery. Curr Opin Anaesthesiol. 2025;38:58-64. doi: 10.1097/ACO.0000000000001453.

  3. Földi M, Soós A, Hegyi P, Kiss S, Szakács Z, Solymár M, et al. Transversusabdominis plane block appears to be effective and safe as a part ofmultimodal analgesia in bariatric surgery: a meta-analysis and systematicreview of randomized controlled trials. Obes Surg. 2021;31:4876-4886.

  4. Feenstra ML, Jansen S, Eshuis WJ, van Berge Henegouwen MI,Hollmann MW, et al. Opioid-free anesthesia: a systematic review andmeta-analysis. J Clin Anesth. 2023;90:111215.

  5. Clanet M, Touihri K, El Haddad C, Goldsztejn N, Himpens J, Fils JF, etal. Effect of opioid-free versus opioid-based strategies during multimodalanaesthesia on postoperative morphine consumption after bariatric surgery:a randomised double-blind clinical trial. BJA Open. 2024;9:100263.

  6. Perez JJ, Strunk JD, Preciado OM, DeFaccio RJ, Chang LC, MallipeddiMK, et al. Effect of an opioid-free anesthetic on postoperative opioidconsumption after laparoscopic bariatric surgery: a prospective,single-blinded, randomized controlled trial. Reg Anesth Pain Med.2025;50:699-705.

  7. Jinaworn P, Pannangpetch P, Bunanantanasan K, ManomaisantiphapS, Udomsawaengsup S, Thepsoparn M, et al. Efficacy of erectorspinae plane block on postoperative analgesia for patients undergoingmetabolic bariatric surgery: a randomized controlled trial. Obes Surg.2024;34:4211-4219.

  8. Nair A, Rangaiah M, Dudhedia U, Borkar N. Analgesic efficacy andoutcomes of ultrasound-guided erector spinae plane block in patientsundergoing bariatric and metabolic surgeries: a systematic review. JMed Ultrasound. 2023;31:178-187.

  9. Oraee S, Rajai Firouzabadi S, Mohammadi I, Alinejadfard M, GolsorkhH, Hatami S. Erector spinae plane block for laparoscopic surgeries: asystematic review and meta-analysis. BMC Anesthesiol. 2024;24:389.

  10. Gao Y, Liu L, Cui Y, Zhang J, Wu X. Postoperative analgesia efficacyof erector spinae plane block in adult abdominal surgery: a systematicreview and meta-analysis of randomized trials. Front Med (Lausanne).2022;9:934866.

  11. Wu L, Zhang W, Wei Y, Zhang D. Comparison of the analgesic effects ofultrasound-guided erector spinae plane block and quadratus lumborumblock: a systematic review and meta-analysis. Front Pharmacol.2025;16:1640135.

  12. Qin Y, Zhou X, Wu M, She H, Wu J. Erector spinae plane block versusquadratus lumborum block for abdominal surgery: A systematic reviewand meta-analysis. World J Surg. 2025;49:204-218.

  13. Liao W, Wu X, Yin S, Yang Y, Ren L, Liao B. Comparison ofpostoperative analgesia effects between subcostal anterior quadratuslumborum block and transversus abdominis plane block in bariatricsurgery. Trials. 2024;25:522.

  14. Ashoor TM, Jalal AS, Said AM, Ali MM, Esmat IM. Ultrasound-Guided techniques for postoperative analgesia in patients undergoinglaparoscopic sleeve gastrectomy: erector spinae plane block vs. quadratuslumborum block. Pain Physician. 2023;26:245-256.

  15. Schnabel A, Weibel S, Pogatzki-Zahn E, Meyer-Frießem CH, OostvogelsL. Erector spinae plane block for postoperative pain. Cochrane DatabaseSyst Rev. 2023;10:CD013763.

  16. Carron M, De Cassai A, Linassi F, et al. Multimodal analgesia inbariatric surgery: not just an intravenous approach. Surg Obes RelatDis. 2020;16:2133-2135.

  17. Ulbing S, Infanger L, Fleischmann E, Prager G, Hamp T. Theperformance of opioid-free anesthesia for bariatric surgery in clinicalpractice. Obes Surg. 2023;33:1687-1693.

  18. Nightingale CE, Margarson MP, Shearer E, Redman JW, Lucas DN,Cousins JM, et al. Peri-operative management of the obese surgical patient2015: Association of Anaesthetists of Great Britain and Ireland Societyfor Obesity and Bariatric Anaesthesia. Anaesthesia. 2015;70:859-876.

  19. Carron M, Safaee Fakhr B, Ieppariello G, Foletto M. Perioperative careof the obese patient. Br J Surg. 2020;107:e39-e55.

  20. Cozowicz C, Chung F, Doufas AG, et al. Opioids for acute painmanagement in patients with obstructive sleep apnea: a systematicreview. Anesth Analg. 2018;127:988-1001.




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Rev Mex Anest. 2026;49