Evidence map›Paper›PMID 41322380›Full record

ArticlePain research & management2025

Opioid-Free Anesthesia in Perioperative Care: Findings From a Swedish Web-Based Survey.

Salwan Diwan, Alexander Olausson, Paulin Andréll, Axel Wolf, Pether Jildenstål

Abstract read
In one paragraph

Article in Pain research & management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Salwan DiwanInstitute of Health and Care Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.ORCID https://orcid.org/0009-0009-9648-6749
Alexander OlaussonInstitute of Health and Care Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6488-8406
Paulin AndréllDepartment of Anaesthesiology and Intensive Care/Pain Centre, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6941-6096
Axel WolfUniversity of Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6111-8377
Pether JildenstålInstitute of Health and Care Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-7518-8915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Opioid-free anesthesia (OFA) is a promising alternative to traditional opioid-based anesthesia. Research indicates that OFA reduces postoperative opioid consumption and related adverse effects while maintaining effective pain control and patient safety. Despite these benefits, clinical adoption of OFA remains limited, possible due to gaps in evidence. To bridge this knowledge gap, a web-based survey was used to assess Swedish healthcare professionals' (HCPs') knowledge, attitudes, and practices regarding OFA, aiming to identify barriers and facilitators for its broader integration into routine anesthesia care. Methods: A web-based survey was sent to anesthesiology department heads at all university hospitals in Sweden and three randomly selected smaller hospitals. The department heads distributed the survey to anesthesiologists, nurse anesthetists, critical care nurses, and registered nurses involved in intraoperative care. The questionnaire had four sections: demographic data, general questions regarding intraoperative care, specific questions on OFA usage, and an open-ended question. Results: A total of 309 HCPs responded to the survey, corresponding to a response rate of 35%. The majority of respondents (77%) had seven or more years of perioperative experience, 63% were female, and 82% worked at university hospitals. Knowledge about OFA was generally low, with 62% reporting insufficient knowledge, and 14% actively applied OFA. Self-report data demonstrated that anesthesiologists had significantly lower knowledge levels on applying OFA compared to nurse anesthetists and critical care nurses ( Conclusion: This survey indicated interest in OFA among Swedish perioperative HCPs while revealing key barriers to implementation, including knowledge gaps and limited guidelines. Addressing these challenges through targeted education and institutional support may facilitate broader OFA adoption, enhancing patient safety and multimodal perioperative pain management.

Indexed as

Analgesics, OpioidAnesthesiaHealth Knowledge, Attitudes, PracticePerioperative CareAdultAttitude of Health PersonnelFemaleHumansInternetMaleMiddle AgedSurveys and QuestionnairesSwedenAnalgesics, Opioidattitudeshealthcare professionalsknowledgeopioid-free anesthesiapracticesweb-based survey

Identifiers

PMID41322380
PMCPMC12660620

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.