Background: Indications for surgery during pregnancy have increased. Specifically fetal interventions have increased from conditions that were considered lethal like twin-twin transfusion syndrome and severe fetal anemia to non-lethal conditions like myelomeningocele. The optimal anesthetic agent for in utero surgery is yet to be determined. Success of the procedure is often dictated by the eff...

UNLABELLED The study is designed to evaluate the influence of remifentanil/propofol anesthesia on ventilator-associated pneumonia (VAP) occurrence and respiratory support (RS) time after major cardiac surgery. MATERIAL AND METHODS In retrospective-prospective study we investigated the respiratory support time and VAP occurrence in group of 47 patients with remifentanil/propofol and 35 patient...

BACKGROUND The aim of this prospective, randomized, double-blind study was to determine the effects of two different target-controlled concentrations of remifentanil (1 and 3 ng/ml) on the sevoflurane requirement for blunting sympathetic responses after surgical incision (MACBAR). METHODS Seventy-four patients aged 20-50 yr, with American Society of Anesthesiologists physical status I, were a...

Introduction. The aim of the study was to compare haemodynamic effects of propofol with desflurane during remifentanil-based anaesthesia for paediatric otorhinolaryngeal surgery. Material and methods. Forty-one ASA I-II children, aged 7 – 18 years, were randomly assigned to two groups to receive remifentanil and propofol (PRO) or remifentanil and desflurane (DES). After standardised premedicati...

BACKGROUND The effects of propofol, remifentanil, and their combination on phrenic nerve activity (PNA), resting heart rate (HR), mean arterial pressure (MAP), and nociceptive cardiovascular responses were studied in rabbits. METHODS Basal anesthesia and constant blood gas tensions were maintained with alpha-chloralose and mechanical ventilation. PNA, HR, MAP, and maximum changes in HR and MA...

PURPOSE The study aimed to assess the combined effects of parecoxib with three different doses of remifentanil and its effect on the stress and cough responses following tracheal extubation under general anesthesia. METHODS A total of 120 patients with American Society of Anesthesiologists (ASA) scores of I or II, undergoing selective thyroidectomy with total intravenous anesthesia (propofol-...

BACKGROUND Emergence from anaesthesia and tracheal extubation can be associated with hyperdynamic circulatory responses. We examined the effects of maintaining a remifentanil infusion on recovery profiles such as coughing and cardiovascular responses after general anaesthesia. METHODS Forty patients undergoing endoscopic sinus surgery under general anaesthesia using total i.v. anaesthesia (pr...

Comparison of the effects Tranexamic Acid and Remifentanil on Reduction Intraoperative Postoperative Hemorrhage during Dacriocystorhynostomy

Comparison of the Effects Ketamine-Remifentanil with Ketamine-Propofol on Pain, Agitation and Hemodynamic Changes during Closed Reduction Nasal Fracture

In the current issue of the British Journal of Anaesthesia, Shin and colleagues report that propofol used for the maintenance of general anaesthesia may prevent remifentanilinduced hyperalgesia. In their study, a comparison of propofol and sevoflurane combined with either high dose or low dose of remifentanil for the maintenance of general anaesthesia in breast cancer surgery was conducted. The...