Effects of remifentanil on cardiovascular and bispectral index responses to endotracheal intubation in severe pre-eclamptic patients undergoing Caesarean delivery under general anaesthesia

British Journal of Anaesthesia

Volumn 102, Issue 6, 2009, Pages 812-819

  Yoo, K Y ^a   Jeong, C W ^a   Park, B Y ^a   Kim, S J ^a   Jeong, S T ^a   Shin, M H ^a   Lee, J ^b  

^a National University Medical School   (South Korea)

^b Chonnam National University Medical School   (South Korea)

Author keywords

Anaesthetic techniques, induction; Anaesthetic techniques, laryngoscopy; Cardiovascular system, effects; Complications, intubation tracheal; Monitoring, bispectral index; Opioids, remifentanil

Indexed keywords

ATROPINE; CATECHOLAMINE; EPHEDRINE; FENTANYL; HYDRALAZINE; MAGNESIUM SULFATE; NEOSTIGMINE; NORADRENALIN; OXYTOCIN; REMIFENTANIL; SEVOFLURANE; SUXAMETHONIUM; THIOPENTAL; VECURONIUM; ADRENALIN; NARCOTIC ANALGESIC AGENT; PIPERIDINE DERIVATIVE;

ADULT; APGAR SCORE; ARTICLE; BISPECTRAL INDEX; BLOOD GAS ANALYSIS; BRADYCARDIA; CARDIOVASCULAR RESPONSE; CATECHOLAMINE BLOOD LEVEL; CESAREAN SECTION; CLINICAL ARTICLE; CONTROLLED STUDY; CRYSTALLOID; DISEASE ASSOCIATION; DISEASE SEVERITY; DRUG WITHDRAWAL; ENDOTRACHEAL INTUBATION; FEMALE; GENERAL ANESTHESIA; HEART RATE; HEMODYNAMICS; HUMAN; HYPOTENSION; LOADING DRUG DOSE; MEAN ARTERIAL PRESSURE; NORADRENALIN BLOOD LEVEL; OUTCOME ASSESSMENT; PREECLAMPSIA; PRIORITY JOURNAL; RESUSCITATION; SEIZURE; SINGLE DRUG DOSE; UMBILICAL ARTERY; UMBILICAL CORD BLOOD; UMBILICAL VEIN; BLOOD; BLOOD PRESSURE; DRUG EFFECTS; ELECTROENCEPHALOGRAPHY; OBSTETRIC ANESTHESIA; PATHOPHYSIOLOGY; PATIENT MONITORING; PREGNANCY; PREGNANCY OUTCOME; PROCEDURES; RANDOMIZED CONTROLLED TRIAL;

ADULT; ANALGESICS, OPIOID; ANESTHESIA, GENERAL; ANESTHESIA, OBSTETRICAL; APGAR SCORE; BLOOD PRESSURE; CESAREAN SECTION; ELECTROENCEPHALOGRAPHY; EPINEPHRINE; FEMALE; HEART RATE; HUMANS; INTUBATION, INTRATRACHEAL; MONITORING, INTRAOPERATIVE; NOREPINEPHRINE; PIPERIDINES; PRE-ECLAMPSIA; PREGNANCY; PREGNANCY OUTCOME; THIOPENTAL;

EID: 67649425600     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aep099     Document Type: Article

References (37)

1. Prys-Roberts C, Greene LT, Meloche R, Foex P. Studies of anaesthesia in relation to hypertension. II. Haemodynamic consequences of induction and endotracheal intubation. Br J Anaesth 1971; 43: 531-47
2. Wilder-Smith OH, Hagon O, Tassonyi E. EEG arousal during laryngoscopy and intubation: comparison of thiopentone or propofol supplemented with nitrous oxide. Br J Anaesth 1995; 75: 441-6
3. Hodgkinson R, Husain FJ, Hayashi RH. Systemic and pulmonary blood pressure during Caesarean section in parturients with gestational hypertension. Can Anaesth Soc J 1980; 27: 389-94
4. Connell H, Dalgleish JG, Downing JW. General anaesthesia in mothers with severe pre-eclampsia/eclampsia. Br J Anaesth 1987; 59: 1375-80
5. Lawes EG, Downing JW, Duncan PW, Bland B, Lavies N, Gane GA. Fentanyl-droperidol supplementation of rapid sequence induction in the presence of severe pregnancy induced and pregnancy-aggravated hypertension. Br J Anaesth 1987; 59: 1381-9
6. Loughran PG, Moore J, Dundee JW. Maternal stress response associated with caesarean delivery under general and epidural anaesthesia. Br J Obstet Gynaecol 1986; 93: 943-9
7. Gin T, O'Meara ME, Kan AF, Leung RK, Tan P, Yau G. Plasma catecholamines and neonatal condition after induction of anaesthesia with propofol or thiopentone at caesarean section. Br J Anaesth 1993; 70: 311-6
8. Shnider SM, Wright RG, Levinson G, et al. Uterine blood flow and plasma norepinephrine changes during maternal stress in the pregnant ewe. Anesthesiology 1979; 50: 524-7
9. Jouppila P, Kuikka J, Jouppila R, Hollmén A. Effect of induction of general anesthesia for cesarean section on intervillous blood flow. Acta Obstet Gynecol Scand 1979; 58: 249-53
10. O'Hare R, McAtamney D, Mirakhur RK, Hughes D, Carabine U. Bolus dose remifentanil for control of haemodynamic response to tracheal intubation during rapid sequence induction of anaesthesia. Br J Anaesth 1999; 82: 283-5
11. Gin T, Ngan-Kee WD, Siu YK, Stuart JC, Tan PE, Lam KK. Alfentanil given immediately before the induction of anesthesia for elective cesarean delivery. Anesth Analg 2000; 90: 1167-72
12. Van de Velde M, Teunkens A, Kuypers M, Dewinter T, Vandermeersch E. General anaesthesia with target controlled infusion of propofol for planned caesarean section: maternal and neonatal effects of a remifentanil-based technique. Int J Obstet Anesth 2004; 13: 153-8
13. Ngan Kee WD, Khaw KS, Ma KC, Wong AS, Lee BB, Ng FF. Maternal and neonatal effects of remifentanil at induction of general anesthesia for cesarean delivery: a randomized, doubleblind, controlled trial. Anesthesiology 2006; 104: 14-20
14. Draisci G, Valente A, Suppa E, et al. Remifentanil for cesarean section under general anesthesia: effects on maternal stress hormone secretion and neonatal well-being: a randomized trial. Int J Obstet Anesth 2008; 17: 130-6
15. Glass PSA, Hardman D, Kamiyama Y, et al. Preliminary pharmacokinetis and pharmacodynamics of an ultra-short-acting opioid: Remifentanil (GI87084B). Anesth Analg 1993; 77: 1031-40
16. Kapila A, Glass PS, Jacobs JR, et al. Measured context-sensitive half-times of remifentanil and alfentanil. Anesthesiology 1995; 83: 968-75
17. Johannsen EK, Munro AJ. Remifentanil in emergency caesarean section in pre-eclampsia complicated by thrombocytopenia and abnormal liver function. Anaesth Intensive Care 1999; 27: 527-9
18. Guignard B, Menigaux C, Dupont X, Fletcher D, Chauvin M. The effect of remifentanil on the bispectral index change and hemodynamic responses after orotracheal intubation. Anesth Analg 2000; 90: 161-7
19. Lyons G, Macdonald R. Awareness during caesarean section. Anaesthesia 1991; 46: 62-4
20. Holly JMP, Makin HLJ. The estimation of catecholamines in human plasma: a review. Anal Biochem 1983; 128: 257-74
21. Brice DD, Hetherington RR, Utting JE. A simple study of awareness and dreaming during anaesthesia. Br J Anaesth 1970; 42: 535-42
22. Helwig JT, Parer JT, Kilpatrick SJ, Laros RK, Jr. Umbilical cord blood acid-base state: what is normal? Am J Obstet Gynecol 1996; 174: 1807-12
23. Lassen NA, Christensen MS. Physiology of cerebral blood flow. Br J Anaesth 1976; 48: 719-34
24. Lavies NG, Meiklejohn BH, May AE, Achola KJ, Fell D. Hypertensive and catecholamine response to tracheal intubation in patients with pregnancy-induced hypertension. Br J Anaesth 1989; 63: 429-34
25. Cottrell JE, Gupta B, Rappaport H, Turndorf H, Ransohoff J, Flamm ES. Intracranial pressure during nitroglycerin-induced hypotension. J Neurosurg 1980; 53: 309-11
26. Naulty J, Cefalo RC, Lewis PE. Fetal toxicity of nitroprusside in the pregnant ewe. Am J Obstet Gynecol 1981; 139: 708-11
27. Fukuda K. Intravenous opioid anesthetics. In: Miller RD, ed. Miller's Anesthesia, 6th Edn. Philadelphia: Elsevier-Churchill Livingstone, 2005; 379-437
28. Ross AK, Davis PJ, Dear Gd GL, et al. Pharmacokinetics of remifentanil in anesthetized pediatric patients undergoing elective surgery or diagnostic procedures. Anesth Analg 2001; 93: 1393-401
29. Ramanathan J, Coleman P, Sibai B. Anesthetic modification of hemodynamic and neuroendocrine stress responses to cesarean delivery in women with severe preeclampsia. Anesth Analg 1991; 73: 772-9
30. Reynolds F, Seed PT. Anaesthesia for cesarean section and neonatal acid-base status: a meta-analysis. Anaesthesia 2005; 60: 636-53
31. Bowen JR, Leslie GI, Arnold JD, Jones MP, Gallery ED. Increased incidence of respiratory distress syndrome in infants following pregnancies complicated by hypertension. Aust NZJ Obstet Gynaecol 1988; 28: 109-12
32. Dyer RA, Piercy JL, Reed AR. The role of the anaesthetist in the management of the pre-eclamptic patient. Curr Opin Anaesthesiol 2007; 20: 168-74
33. Cooper GM, McClure JH. Maternal deaths from anaesthesia. An extract from why mothers die 2000-2002, the Confidential Enquiries into Maternal Deaths in the United Kingdom: Chapter 9: Anaesthesia. Br J Anaesth 2005; 94: 417-23
34. Spence AA. On being aware. Br J Anaesth 1979; 51: 711-2
35. Yoo KY, Jeong CW, Kang MW, et al. Bispectral index values during sevoflurane-nitrous oxide general anesthesia in women undergoing cesarean delivery: A comparison between women with and without prior labor. Anesth Analg 2008; 106: 1827-32
36. Glass PS, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997; 86: 836-47
37. Manyam SC, Gupta DK, Johnson KB, et al. When is a bispectral index of 60 too low?: Rational processed electroencephalographic targets are dependent on the sedative-opioid ratio. Anesthesiology 2007; 106: 472-83