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Safety and efficacy of remifentanil in patients undergoing bariatric and metabolic surgeries - A systematic review.
Indian J Anaesth
January 2025
Department of Anaesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
Background And Aims: Obese patients undergoing bariatric and metabolic surgeries have a high chance of respiratory depression and could need admission to an intensive care unit or a high-dependency unit. Several studies have compared remifentanil to other opioids or non-opioids in these patients. This review investigated the efficacy and safety of remifentanil in bariatric and metabolic surgeries.
View Article and Find Full Text PDFEffects of Deep Sedation With Dexmedetomidine Versus Remifentanil on Postoperative Recovery in Soft Tissue Surgery.
Cureus
February 2025
Anesthesiology and Critical Care, University Clinic for Traumatology, Orthopedics, Anesthesia and Intensive Care and Emergency, Faculty of Medicine, Saints Cyril and Methodius University, Skopje, MKD.
Background Soft tissue surgery comprises short or medium-duration surgical procedures, with anesthesia consisting of analgesia and sedation. Various quantitative and qualitative recovery scales are used to evaluate the quality of postoperative recovery. The primary objective of this study was to compare the effects of dexmedetomidine versus remifentanil on postoperative recovery using the Quality of Recovery-15 (QoR-15) scale to assess recovery quality in soft tissue surgeries.
View Article and Find Full Text PDFBispectral Index and Surgical Space Conditions in Day Surgery Benign Gynecological Laparoscopies: A Double-Blinded Randomized Clinical Trial.
Anesthesiol Res Pract
February 2025
Department of Anesthesia and Intensive Care, Odense University Hospital, Odense, Denmark.
Ambulatory surgery is increased in numbers, healthcare costs are reduced, and patient safety is high when patient characteristics and type of surgery are properly evaluated. To maintain efficiency and patient safety, anesthesia and surgery must be optimized. The bispectral index (BIS) is a widely used and simplified measure of the depth of anesthesia and may provide a more stable anesthesia and avoid insufficient levels of anesthesia.
View Article and Find Full Text PDFPharmacokinetics of Opioid Infusions in the Adult Intensive Care Unit Setting-A Systematic Review.
Clin Pharmacokinet
March 2025
Faculty of Pharmacy, Université de Montréal, Montréal, Canada.
Introduction: Pharmacokinetics (PKs) of drugs are often altered in the intensive care unit (ICU). Opioids are often used in the ICU, particularly as continuous infusions, and their characteristics lead them to undergo PK alterations. We conducted a systematic review to assess the PK of opioid infusions in the ICU.
View Article and Find Full Text PDFEffect of rocuronium and sugammadex under stable propofol-remifentanil anesthesia on the (processed) electroencephalogram.
J Clin Monit Comput
February 2025
Department of Medicine-DIMED, Section of Anesthesiology and Intensive Care, University of Padova, Padova, Italy.
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