Comparison of dexmedetomidine or remifentanil infusion combined with sevoflurane anesthesia in craniotomy: Hemodynamic variables and recovery

Neurosurgery Quarterly

Volumn 19, Issue 2, 2009, Pages 116-119

  Gunduz, Murat ^a   Gunes, Yasemin ^a   Ozbek, Hayri ^a   Yilmaz, Dervis ^a   Isik, Geylan ^a  

^a CUKUROVA UNIVERSITY FACULTY OF MEDICINE   (Turkey)

Author keywords

Dexmedetomidine; Intracranial surgery; Remifentanil

Indexed keywords

DEXMEDETOMIDINE; REMIFENTANIL; SEVOFLURANE; THIOPENTAL;

ADOLESCENT; ADULT; AGED; ANESTHESIA INDUCTION; ANESTHETIC RECOVERY; ARTICLE; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CRANIOTOMY; DRUG EFFECT; ENDOTRACHEAL INTUBATION; FEMALE; HEART HEMODYNAMICS; HEART RATE; HUMAN; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE NAUSEA; POSTOPERATIVE VOMITING; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SHIVERING; SKIN INCISION; VASCULAR LESION;

EID: 67749124154     PISSN: 10506438     EISSN: None     Source Type: Journal    
DOI: 10.1097/WNQ.0b013e3181a45b0d     Document Type: Article

References (25)

1. Pasternak JJ, Lanier WL. Neuroanesthesiology Review - 2005. J Neurosurg Anesthesiol. 2006;18:93-105.
2. Robinson BJ, Uhrich TD, Ebert TJ. A review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis. Acta Anaesthesiol Scand. 1999;43:185-190.
3. Cantillo J, Goldberg ME, Larijani GE, et al. Recovery parameters after sevoflurane and isoflurane anesthesia. Pharmacotherapy. 1997;17:779-782. (Pubitemid 27318973)
4. Gauthier A, Girard F, Boudreault D, et al. Sevoflurane provides faster recovery and postoperative neurological assessment than isoflurane in long-duration neurosurgical cases. Anesth Analg. 2002;95:1384-1388. (Pubitemid 35239144)
5. Welborn LG, Hannallah RS, Norden JM, et al. Comparison of emergence and recovery characteristics of sevoflurane, desflurane, and halothane in pediatric ambulatory patients. Anesth Analg. 1996;83:917-920. (Pubitemid 26365400)
6. Cho S, Fujigaki T, Uchiyama Y, et al. Effects of sevoflurane with and without nitrous oxide on human cerebral circulation. Transcranial Doppler study. Anesthesiology. 1996;85:755-760.
7. Duffy C, Matta BF. Sevoflurane and anesthesia for neurosurgery: a review. J Neurosurg Anesthesiol. 2000;12:128-140.
8. Mielck F, Stephan H, Weyland A, et al. Effects of one minimum alveolar anesthetic concentration sevoflurane on cerebral metabolism, blood flow, and CO2 reactivity in cardiac patients. Anesth Analg. 1999;89:364-369. (Pubitemid 29367718)
9. Gertler R, Cleighton Brown H, Mitchell DH, et al. Dexmedetomidine: a novel sedative-analgesic agent. BUMC Proc. 2001;14:13-21.
10. Hall JE, Uhrich TD, Barney JA, et al. Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions. Anesth Analg. 2000;90:699-705.
11. Maier C, Steinberg GK, Sun GH, et al. Neuroprotection by the alpha 2-adrenoceptor agonist dexmedetomidine in a focal model of cerebral ischemia. Anesthesiology. 1993;79:306-312. (Pubitemid 23224843)
12. Bekker A, Sturaitis MK. Dexmedetomidine for neurological surgery. Neurosurgery. 2005;57:1-10.
13. Hoffman WE, Cunningham F, James MK, et al. Effects of remifentanil, a new shortacting opioid, on cerebral blood flow, brain electrical activity, and intracranial pressure in dogs anesthetized with isoflurane and nitrous oxide. Anesthesiology. 1993;79:107-113. (Pubitemid 23215155)
14. 2O anesthesia. Anesthesiology. 1998;89:358-363.
15. Warner DS, Hindman BJ, Todd MM, et al. Intracranial pressure and hemodynamic effects of remifentanil versus alfentanil in patients undergoing supratentorial craniotomy. Anesth Analg. 1996;83:348-353.
16. Balakrishnan G, Raudzens P, Sarma SK, et al. A comparison of remifentanil and fentanyl in patients undergoing surgery for intracranial mass lesions. Anesth Analg. 2000;91:163-169. (Pubitemid 30437079)
17. Guy J, Hindman BJ, Baker KZ, et al. Comparison of remifentanil and fentanyl in patients undergoing craniotomy for supratentorial spaceoccupying lesions. Anesthesiology. 1997;86:514-524. (Pubitemid 27118333)
18. Coles JP, Leary TS, Monteiro JN, et al. Propofol anesthesia for craniotomy: a double-blind comparison of remifentanil, alfentanil, and fentanyl. J Neurosurg Anesth. 2000;12:15-20. (Pubitemid 30040836)
19. Ohata H, Iida H, Dohi S, et al. Intravenous dexmedetomidine inhibits cerebrovascular dilation induced by isoflurane and sevoflurane in dogs. Anesth Analg. 1999;89:370-377. (Pubitemid 29367719)
20. Bloor BC, Ward DS, Belleville JP, et al. Effects of intravenous dexmedetomidine in humans: Part II - Hemodynamic changes. Anesthesiology. 1992;77:1134-1142. (Pubitemid 23001124)
21. Aho M, Lehtinen AM, Erkola O, et al. The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy. Anesthesiology. 1991;74:997-1002.
22. Tanskanen PE, Kytta JV, Randell TT, et al. Dexmedetomidine as an anaesthetic adjuvant in patients undergoing intracranial tumour surgery: a double-blind, randomized and placebo-controlled study. Br J Anaesth. 2006;97:658-665. (Pubitemid 44593861)
23. Hancock SM, Nathanson MH. Nitrous oxide or remifentanil for the "at risk" brain. Anaesthesia. 2004;59:313-315.
24. Engelhard K, Werner C. Inhalational or intravenous anesthetics for craniotomies? Pro inhalational. Curr Opin Anaesth. 2006;19:504-508. (Pubitemid 44386052)
25. Bristow A, Shalev D, Rice B, et al. Low dose synthetic narcotic infusion for cerebral relaxation during craniotomies. Anesth Analg. 1987;66:413-416. (Pubitemid 17059857)