A Comparison of Remifentanil and Sufentanil as Adjuvants During Sevoflurane Anesthesia with Epidural Analgesia for Upper Abdominal Surgery: Effects on Postoperative Recovery and Respiratory Function

Abstract

In this double-blinded study, we evaluated the effects of adding small infusions of either remifentanil or sufentanil to sevoflurane in combination with postoperative epidural analgesia for upper abdominal surgery. We demonstrated that remifentanil is as effective as sufentanil during the intraoperative period, but that it provides shorter time to extubation and fewer effects on postoperative SpO(2) in the first 7 h after surgery.

Remifentanil na prática clínica

“…Associado à analgesia peridural e sevoflurano para cirurgias na região superior do abdômen, permitiu extubação mais rá-Revista Brasileira de Anestesiologia 119 Vol. 54, Nº 1, Janeiro -Fevereiro, 2004 pida e valores maiores de SpO 2 até 7 horas após o final da cirurgia, comparado ao sufentanil 111 . Para microcirurgia de laringe, associado ao propofol, 79% dos pacientes atingiram índice de Aldrete 9 ou 10 até 10 minutos após o fim da cirurgia, comparado a 40% após o uso de alfentanil, e essa diferença persistiu mesmo após 30 minutos (95% versus 65%) 112 .…”

Anesthetic management of laparoscopic pheochromocytoma surgery: A case report

“…Özellikle pnömoperitonyum ve tümör manüplasyonu sırasında artan hipertansif ataklar nedeni ile gerektiğinde remifentanil dozu arttırıldı. Hipertansif olgularda volatil anestezikler ve opioidlere ek olarak vazodilatör, beta bloker ve kalsiyum kanal blokerleride kullanılmaktadır [9].…”

Remifentanil-Propofol- versus Fentanyl-Midazolam-Kombination bei intrakraniellen Eingriffen

“…Neurosurgery · Anaesthesia technique · Ventilation time · Sedation technique · Intensive care unit stay on erfolgte die Anästhesieeinleitung intravenös mit 0,1-0, 3 …”

“…Dies lässt auf eine länger anhaltende atemdepressive Wirkung von Fentanyl und Midazolam schließen, die gerade bei neurochirurgischen Patienten unerwünscht ist. Zu ähnlichen Ergebnissen kamen auch Casati et al[3], die Remifentanil und Sufentanil in Kombination mit einer Periduralanästhesie nach abdominalchirurgischen Operationen verglichen und in der Sufentanil-Gruppe deutlich mehr Episoden eines Abfalls der Sauerstoffsättigung beobachteten.…”