RT journal article T1 Opioid-free anesthesia with interfascial dexmedetomidine in a high-risk infant A1 Eizaga Rebollar, Ramón A1 Borreiros Rodríguez, Elena A1 Delgado Olmos, Irene A1 Torres Morera, Luis Miguel A2 Cirugía K1 Anesthesia adjuvants K1 child K1 dexmedetomidine hydrochloride K1 high‑risk infant K1 opioid‑free anesthesia K1 TAP block AB Despite the advances in pediatric anesthesia, infants have higher mortality and critical incidents rates than children, especially ex-prematures and those with comorbidity. We present the case of a high-risk infant who underwent elective laparoscopic gastrostomy under opioid-free anesthesia (OFA) combined with transversus abdominis plane (TAP) block with Dexmedetomidine (DEX). Perioperative opioids were entirely avoided, and intraoperative anesthetics and postoperative analgesic were considerably reduced. The infant showed cardiorespiratory stability and optimal analgesia during the uneventful procedure and the postoperative period. We consider OFA and TAP block with DEX a safe and effective anesthetic combination for high-risk infants. PB WOLTERS KLUWER MEDKNOW PUBLICATIONS SN 1658-354X YR 2021 FD 2021 LK http://hdl.handle.net/10498/26532 UL http://hdl.handle.net/10498/26532 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026