Fast-Track Cardiac Anesthesia: Efficacy and Safety of Remifentanil Versus Sufentanil

Lison, Susanne; Schill, Markus A.; Conzen, P.

doi:10.1053/j.jvca.2006.03.011

Cited by 58 publications

(35 citation statements)

References 17 publications

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“…Various doses of remifentanil (continuous dose up to 0.5-1.0 μg·kg −1 ·min −1 , bolus dose up to 1.0-5.0 μg·kg −1 ) were used during anesthesia induction in previously reported investigations [22][23][24][25]. Global standards for the optimum dosage of remifentanil for anesthesia induction have not been established.…”

Section: Discussionmentioning

confidence: 99%

Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity and difficult ventilation

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity and difficult ventilation

et al. 2009

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“…Although continuous intravenous opioid infusion may be useful and safe for cardiac surgery, it is related to cough suppression and respiratory depression and can prolong duration of intubation, particularly in elderly patients . Recent studies reported that the use of very short-acting opioids, such as remifentanil, reduced mechanical ventilation time in patients undergoing cardiac surgery [19–21]. However, Komatsu et al reported that the use of remifentanil was associated with more episodes of bradycardia and hypotension compared with the use of other short-acting opioids [22].…”

Section: Discussionmentioning

confidence: 99%

A case series of continuous paravertebral block in minimally invasive cardiac surgery

et al. 2017

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BackgroundMinimally invasive cardiac surgery (MICS), via minithoracotomy, is thought to be a fast track to extubation and recovery after surgery. For this, good coverage analgesia is essential. Epidural anesthesia, a standard technique for thoracic surgery, has high risk of complications, such as epidural abscess and spinal hematoma in open-heart surgery. Based on the hypothesis that continuous paravertebral block (CPVB), a less invasive regional anesthetic technique, is safe and effective in open-heart surgery, we applied CPVB to MICS with thoracotomy.FindingsTo assess whether CPVB could be used in open-heart surgery with fewer potential complications, we investigated our medical records of the 87 adult patients who underwent MICS at Akashi Medical Center, Hyogo, Japan, between March 2009 and May 2016. We collected data of CPVB-related complications, postextubation respiratory failure, duration of intubation, and other analgesic use from hospital clinical records. We observed no severe CPVB-related complications, such as hematoma, neuropathy, or abscess. PT-INR longer than 1.1 was associated with CPVB-related minor bleeding. Forty-three patients (47.4%) were extubated within 1 h after surgery, and there were no postextubation respiratory failures in any patients.ConclusionsWe observed no cases of severe CPVB-related complications or postextubation respiratory failure in any of our patients who underwent MICS. Preoperative prolongation of PT-INR was associated with CPVB-related minor bleeding.

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“…During the fast-track cardiac anesthesia remifentanil provided safe and stable operating conditions and facilitated earlier tracheal extubation. However, postoperative pain management should be planned carefully (10) . No difference was found for pain scores and also for additional analgesic requirements between groups in this study.…”

Section: Discussionmentioning

confidence: 99%

Effects of Remifentanil and Fentanyl on Postoperative Pain and Recovery in Fast-Tract Cardiac Surgery

Turan¹,

Ayik²,

Öztürk³

et al. 2013

GKDA Derg

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Fast-Track Cardiac Anesthesia: Efficacy and Safety of Remifentanil Versus Sufentanil

Cited by 58 publications

References 17 publications

Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity and difficult ventilation

Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity and difficult ventilation

A case series of continuous paravertebral block in minimally invasive cardiac surgery

Effects of Remifentanil and Fentanyl on Postoperative Pain and Recovery in Fast-Tract Cardiac Surgery

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