Anesthesia recovery comparison between remifentanil-propofol and remifentanil-desflurane guided by Bispectral Index ® monitoring

Rocha, Raphael Grossi; Almeida, Eduardo Giarola; Carneiro, Lara Moreira Mendes; Almeida, Natália Farias de; Boas, Walkiria Wingester Vilas; Gomez, Renato Santiago

doi:10.1016/j.bjane.2016.10.001

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…13,14 The combination of remifentanil and propofol has a synergistic effect, which can reduce the dose of propofol to 75%, and propofol has no effect on the clearance rate of remifentanil. 15,16 This study showed that the incidence of adverse reactions such as nausea and vomiting, chills, restlessness, cough, and tachycardia was lower in the observation group than that in the control group. It suggested that the safety of remifentanil combined anesthesia is higher than that of fentanyl combined anesthesia.…”

Section: Discussionmentioning

confidence: 87%

Effect of Remifentanil Combined Anesthesia on Cytokines and Oxidative Stress in Patients undergoing Laparoscopic Surgery for Colon Cancer

Ding

Wang

et al. 2019

J Coll Physicians Surg Pak

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Section: Discussionmentioning

confidence: 87%

Effect of Remifentanil Combined Anesthesia on Cytokines and Oxidative Stress in Patients undergoing Laparoscopic Surgery for Colon Cancer

Ding

Wang

et al. 2019

J Coll Physicians Surg Pak

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“…These two drugs are rapidly metabolised, and their blood concentrations decreased rapidly after stopping the infusion. Rocha reported that the average recovery duration after combined use of propofol and remifentanil was only 8 min (Rocha et al 2017 ). A supporting laryngoscope is essential for vocal cord polypectomy.…”

Section: Discussionmentioning

confidence: 99%

Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

et al. 2023

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Background Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of general anaesthesia may significantly reduce surgical efficiency. Avoiding these problems remains an important issue. Methods All patients were subjected to the standard non-intubated deep paralysis (NIDP) protocol consisting of four phases. An emergency plan was launched when NIDP cannot be implemented successfully. Patient characteristics, blood gas and monitoring data were collected during NIDP. Data concerning satisfaction, complications and duration of anaesthesia and recovery were collected to assess its effectiveness. Result Among 20 enrolled patients, the success rate of NIDP was 95%. Only one patient failed in completing NIDP. Blood gas analysis revealed that the partial pressure of oxygen and carbon dioxide was maintained at safe levels. Monitoring during NIDP revealed fluctuations in mean arterial pressure between 110 and 70 mmHg, and the heart rate was stable at 60–100 beats per minute. The duration of anaesthesia and postoperative recovery were 13.0 ± 2.84 and 5.47 ± 1.97 min, respectively. All patients and surgeons were satisfied with NIDP, and no complications were detected before discharge. Conclusion NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy. It can significantly reduce the duration of anaesthesia and postoperative recovery. No anaesthesia complications occurred without intubation, and patients and surgeons were satisfied with NIDP. Trial registrations This single-centre, prospective study was registered on clinicaltrial.gov (NCT04247412) on 30th July 2020.

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“…These two drugs are rapidly metabolised, and their blood concentrations decreased rapidly after stopping the infusion. Rocha reported that the average recovery duration after combined use of propofol and remifentanil was only 8 min [13]. A supporting laryngoscope is essential for vocal cord polypectomy.…”

Section: Discussionmentioning

confidence: 99%

Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

Fan

Chi

Zhu

et al. 2022

Preprint

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Background Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of general anaesthesia may significantly reduce surgical efficiency. Avoiding these problems remains an important issue.Methods All patients were subjected to the standard non-intubated deep paralysis (NIDP) protocol consisting of four phases. An emergency plan was launched when NIDP cannot be implemented successfully. Patient characteristics, blood gas and monitoring data were collected during NIDP. Data concerning satisfaction, complications and duration of anaesthesia and recovery were collected to assess its effectiveness.Result Among 20 enrolled patients, the success rate of NIDP was 95%. Only one patient failed in completing NIDP. Blood gas analysis revealed that the partial pressure of oxygen and carbon dioxide was maintained at safe levels. Monitoring during NIDP revealed fluctuations in mean arterial pressure between 110 and 70 mmHg, and the heart rate was stable at 60–100 beats per minute. The duration of anaesthesia and postoperative recovery were 13.0±2.84 and 5.47±1.97 min, respectively. All patients and surgeons were satisfied with NIDP, and no complications were detected before discharge.Conclusion NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy. It can significantly reduce the duration of anaesthesia and postoperative recovery. No anaesthesia complications occurred without intubation, and patients and surgeons were satisfied with NIDP.Trial registrations This single-centre, prospective study was registered on clinicaltrial.gov (NCT04247412) on 30th July 2020.

show abstract

Anesthesia recovery comparison between remifentanil-propofol and remifentanil-desflurane guided by Bispectral Index ® monitoring

Cited by 6 publications

References 24 publications

Effect of Remifentanil Combined Anesthesia on Cytokines and Oxidative Stress in Patients undergoing Laparoscopic Surgery for Colon Cancer

Effect of Remifentanil Combined Anesthesia on Cytokines and Oxidative Stress in Patients undergoing Laparoscopic Surgery for Colon Cancer

Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

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