Remifentanil‐propofol vs. sufentanil‐propofol: optimal combinations in clinical anesthesia

Lentschener, Claude; Ghimouz, Abdelmalek; Bonnichon, P; Pépion, Cédric; Gomola, Alexandra; Ozier, Yves

doi:10.1034/j.1399-6576.2003.470115.x

Cited by 30 publications

(15 citation statements)

References 22 publications

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“…Therefore, a lowest dose of 0.75 mg kg 21 and a highest dose of 1.25 mg kg 21 were chosen in this study. In this study, the bolus dose of 2.5 mg kg 21 propofol was used because of synergistic action between narcotics and hypnotics [17]. Vecuronium was chosen for neuromuscular blockade as it is free from cardiovascular effects [18].…”

Section: Discussionmentioning

confidence: 99%

Different small-dose remifentanil blunting the cardiovascular response to laryngoscopy and intubation in children

Xue

Liu

et al. 2008

European Journal of Anaesthesiology

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Section: Discussionmentioning

confidence: 99%

Different small-dose remifentanil blunting the cardiovascular response to laryngoscopy and intubation in children

Xue

Liu

et al. 2008

European Journal of Anaesthesiology

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“…The analgesic concentrations of opioid can affect the predictive performance of TCI by a significant reduction of the target propofol concentration needed to achieve hypnosis without affecting the BIS values. 9,13,25,26 Although the C e of sufentanil 0.2 ng/ml used in this study was far lower than that for the appearance of EEG depression 13 and sufficient to ensure hemodynamic stability without delayed recovery, 9 it could reduce the target propofol concentration for the maintenance of anesthesia. Third, the open TCI systems used in this study have two different pharmacokinetics, the Marsh and Schnider model.…”

Section: Discussionmentioning

confidence: 81%

Predicted effect-site concentration of propofol and sufentanil for gynecological laparoscopic surgery

Yang

et al. 2010

Acta Anaesthesiologica Scandinavica

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“…29,30,31 Total Intravenous Anesthesia (TIVA) with Propofol is excellent due to its rapid onset, rapid recovery, antiemetic property and synergistic action with fentanyl. 32,33 CONCLUSIONS: The purpose of pre-operative preparation of the patient for thyroid surgery includes investigations to confirm the diseases of thyroid and prepare the surgeon to predict and be cautious regarding post-operative complications. Both the surgeon and the patient should be prepared well to correct the multiple complications with proper maneuvers.…”

Section: Discussionmentioning

confidence: 99%

Role of Pre - Operative Investigations in Preventing the Post - Operative Complications of Thyroid Surgery

Reddy¹,

Ram²

2015

jemds

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Thyroid surgeries are performed worldwide for various indications. In the past complications of thyroid surgeries were reported more than 24%. With an increase in accuracy in Cytological reporting, non-invasive radiological investigations to know the extent of the tumor and infiltration of malignant tumors, the complications are reduced to less than 4%. AIM: To evaluate the predictability of pre-operative investigations in preventing the post-operative complications of thyroid surgery. MATERIALS AND METHODS:A prospective study conducted on 86 patients by investigating before thyroid surgeries with FNAC, ultrasonography, CT scan, X-ray Neck lateral view, MRI, 2D ECHO of Cardia, isotope scanning, video laryngoscopy and thyroid function tests. Demographic characteristics of the patients and indications for thyroid surgeries were used to predict the postoperative complications. Post-operative investigations included serum calcium levels, Thyroid function tests and serum Electrolyte levels to diagnose the complications. RESULTS: sensitivity of FNAC was 93.33%, ultra sound Neck was 92.83%, serum calcium was 89.16%, in thyroid function tests it was 77.66%. With X-Ray Neck the specificity was 57.66%, CT scan was 44.50%, MRI was 15%, and isotope study was 30.6%, Doppler study was 33.83% and 2DEcho was 27.83%. Pre-operative assessment was Airway obstruction 3.48%, hematoma formation 4.65%, RLN palsy 3.48%, Hypocalcaemia 33.72%, wound infection 4.65% were the complications encountered. CONCLUSIONS: Thorough investigations prior to surgery of thyroid, proper selection of the surgical procedure, tumor location knowledge, understanding the pathophysiology of the thyroid disease and type of anesthesia gives confidence to the surgeon and avoids complications. The methods applied in the present study had a definitive role in preventing hypocalcaemia with an incidence of 33.72% and RLN palsy 3.48%. These were added upon by the experience of the operating surgeon.

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Remifentanil‐propofol vs. sufentanil‐propofol: optimal combinations in clinical anesthesia

Abstract: The present clinical trial conducted in thyroid surgery is consistent with previous computer-simulated opioid-propofol combinations with respect to intraoperative and recovery variables. Effect-site propofol ranges were, however, lower than expected.

Cited by 30 publications

References 22 publications

Different small-dose remifentanil blunting the cardiovascular response to laryngoscopy and intubation in children

Different small-dose remifentanil blunting the cardiovascular response to laryngoscopy and intubation in children

Predicted effect-site concentration of propofol and sufentanil for gynecological laparoscopic surgery

Role of Pre - Operative Investigations in Preventing the Post - Operative Complications of Thyroid Surgery

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