Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery
<p><strong>Introduction:</strong></p><p>Anesthesia administration techniques in thoracic surgery have undergone great evolution and greater scientific foundation. Total intravenous anesthesia based on analgesia favors the perioperative period without pain and recovery w...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2020-01-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/560 |
| _version_ | 1818826997446475776 |
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| author | Miriam Falcón Guerra Sergio A Orizondo Pajón Jorge A Alonso Valdés Isis Nicolau Cruz |
| author_facet | Miriam Falcón Guerra Sergio A Orizondo Pajón Jorge A Alonso Valdés Isis Nicolau Cruz |
| author_sort | Miriam Falcón Guerra |
| collection | DOAJ |
| description | <p><strong>Introduction:</strong></p><p>Anesthesia administration techniques in thoracic surgery have undergone great evolution and greater scientific foundation. Total intravenous anesthesia based on analgesia favors the perioperative period without pain and recovery without complications.</p><p><strong>Objective:</strong></p><p>To compare the effectiveness and safety of two techniques of total intravenous anesthesia in elective thoracic surgery with remifentanil as an analgesic base.</p><p><strong>Methods:</strong></p><p>Prospective and causiexperimental study carried out at Dr. Salvador Allende Clinical-Surgical Teaching Hospital, in the period from January 2013 to January 2015, with 45 patients scheduled for elective thoracic surgery, who were divided into two groups according to the hypnotic drug used. Group A: propofol/remifentanil, and group B: midazolam/remifentanil. Hemodynamic variables were evaluated at different times during the intraoperative period. Oxygenation variables (PaO<sub>2</sub> and SaO<sub>2</sub>) during unipulmonary ventilation and anesthetic recovery times.</p><p><strong>Results:</strong></p><p>Patients older than 60 years predominated in the two groups, with a physical status of ASA III. There were no differences in arterial oxygenation between the groups. There was a decrease in systolic blood pressure in group A without significant differences. The recovery of anesthesia was significantly more delayed in group B.</p><p><strong>Conclusions:</strong></p><p>The total intravenous anesthesia technique with remifentanil as an analgesic base associated with propofol was safe and effective in patients undergoing thoracic surgery.</p><p><strong>Keywords:</strong> intravenous total anesthesia; remifentanil; propofol; midazolam; elective thoracic surgery.</p><p> </p> |
| first_indexed | 2024-12-19T00:36:33Z |
| format | Article |
| id | doaj.art-75de4b8c9f934ac1b3024347b67cee57 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-19T00:36:33Z |
| publishDate | 2020-01-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-75de4b8c9f934ac1b3024347b67cee572022-12-21T20:44:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182020-01-01191548Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgeryMiriam Falcón Guerra0Sergio A Orizondo Pajón1Jorge A Alonso Valdés2Isis Nicolau Cruz3Hospital Docente Clinico Quirurgico Dr. Salvador AllendeHospital Docente Clinico Quirurgico Dr. Salvador AllendeHospital Docente Clinico Quirurgico Dr. Salvador AllendeHospital Docente Clinico Quirurgico Dr. Salvador Allende<p><strong>Introduction:</strong></p><p>Anesthesia administration techniques in thoracic surgery have undergone great evolution and greater scientific foundation. Total intravenous anesthesia based on analgesia favors the perioperative period without pain and recovery without complications.</p><p><strong>Objective:</strong></p><p>To compare the effectiveness and safety of two techniques of total intravenous anesthesia in elective thoracic surgery with remifentanil as an analgesic base.</p><p><strong>Methods:</strong></p><p>Prospective and causiexperimental study carried out at Dr. Salvador Allende Clinical-Surgical Teaching Hospital, in the period from January 2013 to January 2015, with 45 patients scheduled for elective thoracic surgery, who were divided into two groups according to the hypnotic drug used. Group A: propofol/remifentanil, and group B: midazolam/remifentanil. Hemodynamic variables were evaluated at different times during the intraoperative period. Oxygenation variables (PaO<sub>2</sub> and SaO<sub>2</sub>) during unipulmonary ventilation and anesthetic recovery times.</p><p><strong>Results:</strong></p><p>Patients older than 60 years predominated in the two groups, with a physical status of ASA III. There were no differences in arterial oxygenation between the groups. There was a decrease in systolic blood pressure in group A without significant differences. The recovery of anesthesia was significantly more delayed in group B.</p><p><strong>Conclusions:</strong></p><p>The total intravenous anesthesia technique with remifentanil as an analgesic base associated with propofol was safe and effective in patients undergoing thoracic surgery.</p><p><strong>Keywords:</strong> intravenous total anesthesia; remifentanil; propofol; midazolam; elective thoracic surgery.</p><p> </p>http://revanestesia.sld.cu/index.php/anestRean/article/view/560 |
| spellingShingle | Miriam Falcón Guerra Sergio A Orizondo Pajón Jorge A Alonso Valdés Isis Nicolau Cruz Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery Revista Cubana de Anestesiología y Reanimación |
| title | Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery |
| title_full | Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery |
| title_fullStr | Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery |
| title_full_unstemmed | Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery |
| title_short | Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery |
| title_sort | total intravenous anesthesia propofol remifentanil vs midazolam remifentanil in thoracic surgery |
| url | http://revanestesia.sld.cu/index.php/anestRean/article/view/560 |
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