Opioid-Free Anesthesia (OFA) as a Safe Anesthetic Choice for Epilepsy Patient

Authors

  • Albertus Medianto Walujo Resident, Department of Anesthesiology and Intensive Therapy, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • Dewa Ayu Mas Shintya Dewi Department of Anesthesiology and Intensive Therapy, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • FX. Adinda Putra Pradhana Department of Anesthesiology and Intensive Therapy, Universitas Udayana, Udayana Hospital, Jimbaran, Indonesia

DOI:

https://doi.org/10.37275/bsm.v7i12.901

Keywords:

Epilepsy, Nasal cavity tumor, Opioid-free anesthesia, Rhinotomy

Abstract

Background: The opioid-free anesthesia (OFA) approach, although not widely employed in anesthesia, offers distinct benefits for some populations, such as epilepsy patients, due to the propensity of opioids to trigger seizures. Hence, the objective of this study was to conduct an opioid-free anesthesia (OFA) procedure on the left lateral rhinotomy in a patient with concurrent epilepsy.

Case presentation: Our patient is a 59-year-old woman suffering from epilepsy with a left nasal cavity tumor, scheduled for a left midfacial degloving rhinotomy. Given the patient's epilepsy comorbid, we have opted for an opioid-free anesthesia (OFA) procedure. OFA procedures are not yet widely employed in anesthesia; however, they offer advantages for specific patient populations, including epilepsy patients, as opioids have the potential to induce seizures.

Conclusion: The various OFA protocols being conducted worldwide require refinement, and the potential interactions of each component should be explored further.

Authors

  • Albertus Medianto Walujo1*
  • Dewa Ayu Mas Shintya Dewi2
  • FX. Adinda Putra Pradhana3
  1. 1Resident, Department of Anesthesiology and Intensive Therapy, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  2. 2Department of Anesthesiology and Intensive Therapy, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  3. 3Department of Anesthesiology and Intensive Therapy, Universitas Udayana, Udayana Hospital, Jimbaran, Indonesia

Corresponding author Albertus Medianto Walujo — medbius2022@gmail.com

Article history

  1. Submitted
  2. Accepted
  3. Published

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Published

2023-11-16

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How to Cite

1.
Walujo AM, Dewa Ayu Mas Shintya Dewi, FX. Adinda Putra Pradhana. Opioid-Free Anesthesia (OFA) as a Safe Anesthetic Choice for Epilepsy Patient. Bioscmed [Internet]. 2023 Nov. 16 [cited 2026 Aug. 13];7(12):3846-50. Available from: https://bioscmed.com/index.php/bsm/article/view/901