Review of the efficacy and safety of remifentanil for the prevention and treatment of pain during and after procedures and surgery.

Local Reg Anesth

Department of Anesthesiology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Published: October 2012

AI Article Synopsis

  • Remifentanil is a synthetic opioid known for its ultrashort action, quickly broken down by enzymes in the body.
  • Its unique metabolism leads to a steady and predictable duration of effect, making it useful in anesthesia and pain relief.
  • However, there are concerns about its potential for causing tolerance and increased sensitivity to pain, which limits its effectiveness for long-term pain management.

Article Abstract

Remifentanil is an ultrashort-acting synthetic opioid. It is metabolized by nonspecific tissue and plasma esterases. Remifentanil's metabolism is responsible for its unique pharmacokinetic profile and flat, context-sensitive half-time. Since its introduction into clinical practice, remifentanil has been used for a variety of anesthetic and analgesic applications; however, concerns regarding a potential for rapid induction of tolerance and/or induced hyperalgesia, coupled with an ultrarapid offset of effect, make the drug less than optimal for use in the pharmacologic management of pain.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417946PMC
http://dx.doi.org/10.2147/lra.s7709DOI Listing

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