Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series

Malignancy associated with chronic inflammation and stress response events by the surgical procedure. The use of an opioid such as remifentanil can decrease stress response that may be measured by leukocyte, neutrophil-to-lymphocyte ratio (NLR), platelet-to -lymphocyte ratio (PLR), mean platelet vol...

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Main Authors: Tjokorda Gde Agung Senapathi, I Made Subagiartha, I Gusti Agung Gede Utara Hartawan, Adi Dharma Thius
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Bali Journal of Anesthesiology
Subjects:
Online Access:http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=1;spage=18;epage=21;aulast=Agung
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author Tjokorda Gde Agung Senapathi
I Made Subagiartha
I Gusti Agung Gede Utara Hartawan
Adi Dharma Thius
author_facet Tjokorda Gde Agung Senapathi
I Made Subagiartha
I Gusti Agung Gede Utara Hartawan
Adi Dharma Thius
author_sort Tjokorda Gde Agung Senapathi
collection DOAJ
description Malignancy associated with chronic inflammation and stress response events by the surgical procedure. The use of an opioid such as remifentanil can decrease stress response that may be measured by leukocyte, neutrophil-to-lymphocyte ratio (NLR), platelet-to -lymphocyte ratio (PLR), mean platelet volume, blood sugar, and C-reactive protein (CRP). This was a randomized, single-blind study, with a total sample of ten patients, and they were divided into two groups: 1.remifentanil group (0.1–0.3 mcg/kg body weight [BW]/min) and fentanyl group (intermittent 0.5–1 mcg/kg BW every 60 min). The patients' blood were collected two times before and 24 h after surgery. Inflammation markers such as total leukocyte value, NLR, PLR, and dan CRP were increased in two groups.Even PLR postoperative remains high in both group, but in remifentanil group was lower than fentanyl group. There were no differences between the two groups, but remifentanil was found better to suppress the postoperative PLR rather than in the fentanyl group.
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spelling doaj.art-9149cbb5d285488ab01ac7ec99bdce082022-12-21T22:22:59ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762020-01-0141182110.4103/BJOA.BJOA_15_19Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case seriesTjokorda Gde Agung SenapathiI Made SubagiarthaI Gusti Agung Gede Utara HartawanAdi Dharma ThiusMalignancy associated with chronic inflammation and stress response events by the surgical procedure. The use of an opioid such as remifentanil can decrease stress response that may be measured by leukocyte, neutrophil-to-lymphocyte ratio (NLR), platelet-to -lymphocyte ratio (PLR), mean platelet volume, blood sugar, and C-reactive protein (CRP). This was a randomized, single-blind study, with a total sample of ten patients, and they were divided into two groups: 1.remifentanil group (0.1–0.3 mcg/kg body weight [BW]/min) and fentanyl group (intermittent 0.5–1 mcg/kg BW every 60 min). The patients' blood were collected two times before and 24 h after surgery. Inflammation markers such as total leukocyte value, NLR, PLR, and dan CRP were increased in two groups.Even PLR postoperative remains high in both group, but in remifentanil group was lower than fentanyl group. There were no differences between the two groups, but remifentanil was found better to suppress the postoperative PLR rather than in the fentanyl group.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=1;spage=18;epage=21;aulast=Agungc-reactive proteinfentanylmean platelet volumeneutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratioremifentanil
spellingShingle Tjokorda Gde Agung Senapathi
I Made Subagiartha
I Gusti Agung Gede Utara Hartawan
Adi Dharma Thius
Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
Bali Journal of Anesthesiology
c-reactive protein
fentanyl
mean platelet volume
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
remifentanil
title Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
title_full Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
title_fullStr Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
title_full_unstemmed Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
title_short Comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia: A case series
title_sort comparative effects of remifentanil and fentanyl on inflammatory stress response in mastectomy surgery with general anesthesia a case series
topic c-reactive protein
fentanyl
mean platelet volume
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
remifentanil
url http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=1;spage=18;epage=21;aulast=Agung
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