Comparison of alfentanil and morphine in the prehospital treatment of patients with acute ischaemic-type chest pain

European Journal of Emergency Medicine

Volumn 8, Issue 4, 2001, Pages 275-278

  Silfvast, T ^a   Saarnivaara, L ^a  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

Acute pain; Alfentanil; Chest pain; Ischaemia; Morphine; Prehospital

Indexed keywords

ALFENTANIL; MORPHINE; NARCOTIC ANALGESIC AGENT;

AGED; ANGINA PECTORIS; ARTICLE; CHEMICALLY INDUCED DISORDER; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIZZINESS; DOUBLE BLIND PROCEDURE; EMERGENCY HEALTH SERVICE; FATIGUE; FEMALE; FINLAND; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; NAUSEA; PAIN ASSESSMENT; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME;

AGED; ALFENTANIL; ANALGESICS, OPIOID; ANGINA PECTORIS; DIZZINESS; DOUBLE-BLIND METHOD; EMERGENCY MEDICAL SERVICES; FATIGUE; FEMALE; FINLAND; HUMANS; MALE; MIDDLE AGED; MORPHINE; NAUSEA; PAIN MEASUREMENT; RANDOM ALLOCATION; TREATMENT OUTCOME;

EID: 0035754636     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/00063110-200112000-00005     Document Type: Article

References (19)

1. Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care (2000) Circulation, 102 (suppl), I-177.
2. Stoelting, R.K. (1991). Opioid agonists and antagonists. in Stoelting, R.K. (Ed), Pharmacology and physiology in anaesthetic practice, Philadelphia: J.B. Lippincott: 74-90.
3. Dollery, C. (1991). Alfentanil. in Dollery, C (Ed), Therapeutic drugs, London: Churchill Livingstone: A43.
4. Bailey, P.L., Egan, T.D. and Stanley, T.H. (2000). Intravenous opioid anesthetics. in Miller, R.D. (Ed), Anesthesia, London: Churchill Livingstone: 294.
5. Shafer, S.L. and Varvel, J.R. (1991). Pharmacokinetics, pharmacodynamics and rational opioid selection. Anesthesiology 74: 53-63.
6. Levy, J.H., Brister, N.W. and Shearin, A. (1989). Wheal and flare responses to opioids in humans. Anesthesiology 70: 756-760.
7. Silfvast, T. (1990). Prehospital resuscitation in Helsinki. Am. J. Emerg. Med. 8: 359-364.
8. Tigerstedt, I., Wirtavuori, K. and Tammisto, T. (1988). Conceptualization of pain categories on different visual analogue scales. Schmerz/Pain/Douleur 9: 66-69.
9. Shafer, A., Sung, M.L. and White, P.F. (1986). Pharmacokinetics and pharmacodynamics of alfentanil infusions during general anesthesia. Anesth. Analg. 65: 1021-1028.
10. Ausems, M.E., Vuyk, J., Hug Jr, C.C. and Stanski, D.R. (1988). Comparison of a computer-assisted infusion versus intermittent bolus administration of alfentanil as a supplement to nitrous oxide for lower abdominal surgery. Anesthesiology 68: 851-861.
11. Hug Jr, C.C., Hall, R.I., Angert, K.C., Reeder, D.A. and Moldenhauer, C.C. (1988). Alfentanil plasma concentration v. effect relationships in cardiac surgical patients. Br. J. Anaesth. 61: 435-440.
12. Robbins, G.R., Wynands, J.E., Whalley, D.G., Donat, F., Ramsay, J.G., Srikant, C.B. and Patel, Y.C. (1990). Pharmacokinetics of alfentanil and clinical responses during cardiac surgery. Can. J. Anaesth. 37: 52-57.
13. Lin, I.S., Liu, C.H., Susetio, L. et al. (1993). Comparison of intravenous alfentanil, fentanyl and epidural lidocaine for extracorporeal shock wave lithotripsy. Ma Tsui Hsueh Tsa Chi 31: 225-232.
14. Ravalia, A. and Suresh, D. (1990). I.v. alfentanil analgesia for physiotherapy following rib fractures. Br. J. Anaesth. 64: 746-748.
15. Stanski, R.D. (1988). The contribution of pharmacokinetics and pharmacodynamics to clinical anaesthesia care. Can. J. Anaesth. 35: S42-S45.
16. Scott, J.C., Ponganis, K.V. and Stanski, R.D. (1985). EEG quantitation of narcotic effect: the comparative pharmacodynamics of fentanyl and alfentanil. Anaesthesiology 62: 234-241.
17. Lehmann, K.A., Ribbert, N. and Horrichs-Haermeyer, G. (1990). Postoperative patient-controlled analgesia with alfentanil: analgesic efficacy and minimum effective concentrations. J. Pain Symptom Manage. 5: 249-258.
18. Persson, J., Scheinin, H., Hellström, G. et al. (1999). Ketamine antagonises alfentanil-induced hypoventilation in healthy male volunteers. Acta Anaesthesiol. Scand. 43: 744-752.
19. Kalso, E., Pöyhiä, R., Onnela, P. et al. (1991). Intravenous morphine and oxycodone for pain after abdominal surgery. Acta Anaesthesiol. Scand. 35: 642-646.