Quality of Recovery Following Opioids Free Anaesthesia in Laparoscopic Sleeve Gastrectomy

Quality of Recovery of Opioid Free Anaesthesia Versus Opioids Anaesthesia Within Enhanced Recovery Protocol Following Laparoscopic Sleeve Gastrectomy in Saudi Arabia, Randomized Controlled Trial

Laparoscopic sleeve gastrectomy is widely employed nowadays. Multimodal analgesia approach is implemented within the enhanced recovery protocol in our facility to improve participants' recovery. Due to side effects of narcotics, the may adversely affect the quality of recovery, the investigators intended to test the efficacy of opioids free anaesthesia on the quality of recovery and postoperative narcotic use.

Inclusion Criteria:

• 70 ASA II - III adult patients (18-60 years old)
• Elective laparoscopic bariatric surgery.
• Body mass index (BMI) is from 40 to 60
• Trocar sites at or above the umbilicus (T 10 dermatome).

Exclusion Criteria:

• Allergy to amino-amide local anaesthetics,
• presence of coagulopathy
• local skin infection at injection sites,
• preoperative chronic dependence upon opioid and NSAID medications,
• liver or renal insufficiency,
• history of psychiatric or neurological disease, deafness,
• previous open surgery,
• patients who need to be converted to open surgery with more tissue trauma,
• ASA (American society of anesthesiologists) class above III were excluded.