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标题：Comparison of target-controlled infusion of sufentanil and remifentanil in blunting hemodynamic response to tracheal intubation
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作者：Yeganeh, Naser ; Roshani, Bahman ; Latifi, Hossein 等
期刊名称：Journal of Injury and Violence Research
印刷版ISSN：2008-4072
出版年度：2013
卷号：5
期号：2
页码：101-107
DOI：10.5249/jivr.v5i2.325
语种：English
出版社：Journal of Injury and Violence Research
摘要：BACKGROUND: Maintaining blood pressure (BP) and heart rate (HR) after laryngoscopy and tracheal intubation has always been a concern in injured patients. Opioids can attenuate or stop an increase in these two parameters if administered with proper doses or targets in target-controlled infusion (TCI). Remifentanil and sufentanil are widely used for this purpose because their cardiac side effects are low and, especially in traumatic patients, they are tolerated well. A comparison of the benefits and limitations of these two opioids in TCI is much needed. A literature review in electronic data bases revealed few results. METHODS: 40 normotensive patients were enrolled to this randomized clinical trial study. After BIS guided anesthesia with a target-controlled propofol infusion and muscle relaxation with cisatracurium, remifentanil and sufentanil were infused using TCI with 2 and 0.2 ng.ml-1 targets respectively. BP and HR were recorded for five data points and compared with Fischer's exact test. RESULTS: Systolic, mean and diastolic arterial pressure and HR in different points of the study remained below baseline values but were out of control in some cases, however the out-of-control values showed significant difference between the two groups only for heart rate changes. The relative risk for producing out-of-control changes with remifentanil compared to sufentanil is significantly more than 1 for HR decrease. CONCLUSIONS: Sufentanil produced more common pre-intubation hypotension than remifentanil in propofol anesthetized patients but this hypotension disappeared sooner than remifentanil after tracheal intubation. Both opioids prevent an increase in BP and HR after tracheal intubation but the side effects (hypotension and bradycardia) may be a cause for concern (IRCT138710011361N3) © 2013 KUMS, All rights reserved
关键词：injury;intravenous analgesics;sufentanil;remifentanil;tracheal intubation;target-controlled infusion