L. 'enjeu-du-contrôle-sympathique-per-opératoire and .. .. ,

. , Pharmacologie et pharmacodynamie des principaux produits utilisés

. , 51 1. L'utilisation d'une stratégie anesthésique sans morphinique favorise un retour de transit précoce, p.51

. , L'utilisation d'une stratégie anesthésique sans morphinique est sécuritaire et qualitative

.. .. Limites-de-l'étude, Pratiques de l'OFA à l'étranger et en France

V. .. Conclusion,

. , Déroulement pratique d'une anesthésie, vol.2

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A. Sultana, M. D. Glasg, and F. , Opioid Free Anesthesia and Analgesia in the Bariatric Patient, Anesthesiology, vol.8, p.11, 2015.

A. Plunkett, M. Fahlgren, B. Mclean, and D. Mundey, Opioid-Free Balanced Anesthesia for Cervical Ganglionectomy Subsequent to Recent Ultra Rapid Opioid Detoxification, Pain Medicine, vol.10, issue.4, pp.767-70, 2009.

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R. C. Hoffman and . Ananda, Fentanyl or Dexmedetomidine Combined with Desflurane for Bariatric Surgery, Journal of Clinical Anesthesia, vol.18, issue.1, pp.24-28, 2006.

M. Mansour, A. A. Mahmoud, and M. Geddawy, Nonopioid versus Opioid Based General Anesthesia Technique for Bariatric Surgery: A Randomized Double-Blind Study, Saudi Journal of Anaesthesia, vol.7, issue.4, p.387, 2013.

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, Annexe 2 : Déroulement pratique d'une anesthésie en OFA

?. Monitorage-de-la-profondeur-par-psi®-de-massimo, Induction : ? Dexmedetomidine : dose de charge : 0,5 à 1 µg/kg calculée sur le poids idéal théorique (PIT) en 20 min

, ? Chirurgie <, vol.1

, ? Chirurgie > 1,5h : colectomie, chirurgie pancréatique-Desflurane / propofol AIVOC-Curare-Lidocaïne IVSE : 2mg/kg/h, Kétamine IVSE : 0,25 mg/kg/h pendant 4h

?. Contrôler-le-diamètre-pupillaire, la sympatholyse) :-en cas de mydriase majorer les doses d'? 2 agonise par l'augmentation de la vitesse de la dexmedetomedine IVSE, ou une réinjection IV à dose réduite selon les mêmes modalités que pour l'induction

, En cas de myosis : antihypertenseur, ou ?-bloquant