Balanced anesthesia

Balanced anesthesia, also known as multimodal anesthesia (also spelt: anaesthesia), is a technique used to induce and maintain anesthesia in patients undergoing surgery or certain medical procedures. This method employs a combination of anesthetic agents and other drugs – and techniques – to selectively target various aspects of the central nervous system, allowing for a tailored anesthetic experience based on the individual patient's needs and the specific requirements of the procedure.

The specialist physician (in Canadian and American English: anesthesiologist; in Commonwealth and British English: anaesthetist) or veterinarian evaluates various patient factors prior to selecting an anesthetic approach. These factors include major organ function, general condition, and compensatory capacity (ability to function despite stressors). In balanced anesthesia, appropriate agents are used in combination, at carefully-calibrated levels.

The concept of balanced anesthesia was first introduced by John Silas Lundy in 1926 and has since become the predominant method of anesthesia in modern medical practice.