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MAY 22, 2023

Friedberg’s Triad: A Pathway to Opioid-Free Anesthesia and Better Outcomes

There may be many reasons for anesthesiologists are not electing to pursue opioid-free anesthesia, not the least of which is fear of ketamine hallucinations, post-op pain or colleagues’ criticism.

By Barry Friedberg, MD
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Friedberg’s Triad is 1) Measure the brain, 2) Preempt the pain, 3) Emetic drugs abstain1 (Figure 1).

No anesthesiologist would administer a blood pressure medication and fail to measure the response. yet, in the 21st century, many continue to administer