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Dahaba, AA; von Klobucar, F; Rehak, PH; List, WF.
Total intravenous anesthesia with remifentanil, propofol and cisatracurium in end-stage renal failure.
Can J Anaesth. 1999; 46(7):696-700 Doi: 10.1007/BF03013962 [OPEN ACCESS]
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Co-authors Med Uni Graz
Rehak Peter
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Abstract:
PURPOSE: To compare recovery parameters of total intravenous anesthesia (TIVA) with remifentanil and propofol, hemodynamic responses to perioperative events, and pharmacodynamic parameters of cisatracurium in 22 end-stage renal failure and 22 normal renal function patients. METHODS: Anesthesia was induced with 2-3 mg x kg(-1) propofol and 1 microg x kg(-1) remifentanil and maintained with 75 microg x kg(-1) x min(-1) propofol and propofol initial infusion of 0.2 microg x kg(-1) x min(-1) propofol. Arterial pressure and heart rate were maintained by remifentanil infusion rate adjustments. The first twitch (T1) was maintained at 25% by an infusion of cisatracurium. RESULTS: There was no difference in the time to maintenance of adequate respiration, date of birth recollection, first analgesic administration, between the renal failure (4.8+/-2.5, 7.8+/-3.2, 12.3+/-5.3 min respectively) and the control group (5.2+/-2.8, 8.1+/-3.1, 12.7+/-5.5 min): nor were there any differences in the time to 25% T1 recovery, T1 recovery from 25% to 75%, or cisatracurium infusion rate between the renal failure group (32.1 +/-10.8 min, 18.2+/-5.5 min, 0.89+/-0.29 microg x kg(-1) min(-1) respectively) and the control group (35.9 (7.9 min, 18.4+/-3.8 min, 0.95+/-0.22 microg x kg(-1) x min(-1)). CONCLUSION: End-stage renal failure does not prolong recovery from TIVA with remifentanil and propofol, or the recovery from cisatracurium neuromuscular block.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Anesthesia, Intravenous -
Anesthetics, Intravenous - administration and dosage
Atracurium - administration and dosage
Female - administration and dosage
Hemodynamic Processes - drug effects
Humans - drug effects
Kidney Failure, Chronic - physiopathology
Male - physiopathology
Middle Aged - physiopathology
Neuromuscular Blocking Agents - administration and dosage
Piperidines - administration and dosage
Propofol - administration and dosage

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