Remifentanil Versus Meperidine For Monitored Anesthesia Care: A Comparison Study in Older Patients Undergoing Ambulatory Colonoscopy

Abstract

Remifentanil infusions and meperidine boluses are equally well tolerated in older patients undergoing ambulatory colonoscopy when administered by an anesthesia provider.

Remifentanil Compared with Midazolam and Pethidine Sedation During Colonoscopy: A Prospective, Randomized Study

“…The mean level of analgesia observed in our study indicates that use of remifentanil is less beneficial than a combination of midazolam and pethidine; this is in agreement with other studies [29]. This difference did not reach statistically significance in our study, however.…”

Opioid Analgesia for Hysterosalpingography: Controlled Double-Blind Prospective Trial with Remifentanil and Placebo

“…provided excellent control of hemodynamic responses to HSG. The mild hypotension and bradycardia observed in the remifentanil group were similar to those found in other studies [14,15] . Nevertheless none of these changes required additional intervention.…”

Remifentanil used to supplement propofol does not improve quality of sedation during spontaneous respiration

“…(0.1 g/kg/min) was as recommended for spontaneously breathing patients by the drug manufacturer and is comparable with doses in other studies in patients undergoing colonoscopy. In a study of Greilich et al 10 a mean remifentanil infusion rate of 0.14 g/kg/min together with midazolam 2.9 [1.2] mg was given. Rudner et al 11 achieved satisfactory analgesia/sedation with an infusion rate of remifentanil 0.2 to 0.25 g/kg/min and propofol in titrated doses.…”