I read with great interest the editorial from Kharasch and Clark, titled “Opioid-free Anesthesia: Time to Regain Our Balance.” However, after reading the editorial, I am still unclear on why we need such a discussion in the context of Beloeil et al.’s study. Opioid-free anesthesia is not just about replacing an opioid with a nonopioid analgesic. Maybe in the United States the use of opioids is more concerning because it is established that 80% of the world opioid consumption occurs in the United States. In my opinion, the real question is: Do we need opioids to optimize perioperative care and recovery of a surgical patient? Although Shanthanna et al. provide evidence that opioids are not always required if patients are properly selected and regional anesthesia and complementary techniques are included, consideration should also...

You do not currently have access to this content.