1. To evaluate the eļ¬cacy of a standardized multimodal Opioid Sparing (OS) protocol versus conventional opioid-based analgesia in reducing acute postoperative 2. To quantify opioid consumption reduction achievable through OS strategies 3. To assess the impact of OS on hemodynamic parameters during critical surgical phases 4. To compare recovery metrics (PONV, bowel function, ambulation) 5. To evaluate the safety proļ¬le of OS anesthesia
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Pain intensity at rest postoperatively (Visual Analog Scale, VAS, 0-10)
Timeframe: 48 hours post operative
Ola Mahmoud Wahba Gnedy, Assistant Prof.