Douleur et Analgésie

, Volume 27, Issue 3, pp 145–148 | Cite as

L’anesthésie sans opiacés : anecdote ou nécessité ?

  • M. De KockEmail author
Article de Synthèse / Review Article


Ce travail a pour but de remettre en question l’usage systématique de hautes doses d’opiacés synthétiques pendant l’anesthésie. Pour ce faire, les raisons qui ont conduit à cet usage seront discutées. L’origine de l’hyperalgésie et des interactions immunitaires provoquées par ces substances sera présentée. Cela en évoquant des éléments de biologie comparative et les principes de fonctionnement des perceptions sensorielles.

Mots clés

Anesthésie Opiacés Hyperalgésie 

Opiate-free anaesthesia: Anecdotal or a necessity?


The aim of this study is to question the systematic use of high-dose synthetic opiates in anaesthesia. In order to do this, the reasons that have led to this use will be discussed. The origin of hyperalgesia and immune interactions caused by these substances will be presented. This will be done by referring to elements of comparative biology and principles of the function of sensory perception.


Anaesthesia Opiates Hyperalgesia 


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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  1. 1.Service d’anesthésie-réanimation, cliniques universitaires Saint-Lucuniversité catholique de LouvainBruxellesBelgique

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