Effect of remifentanil infusion rate on stress response in orthopedic surgery using a tourniquet application

BMC Anesthesiology

Volumn 13, Issue , 2013, Pages

  Shinoda, Taketo ^a   Murakami, Wakako ^a   Takamichi, Yasuo ^a   Iizuka, Hiroki ^a   Tanaka, Masaaki ^a   Kuwasako, Yuto ^a  

^a SHOWA UNIVERSITY FUJIGAOKA HOSPITAL   (Japan)

Author keywords

Remifentanil; Stress response; Tourniquet pain

Indexed keywords

ADRENALIN; CORTICOTROPIN; DOPAMINE; HYDROCORTISONE; INSULIN; NORADRENALIN; REMIFENTANIL; SEVOFLURANE; STRESS HORMONE; VASOPRESSIN;

ADRENALIN BLOOD LEVEL; ADULT; ANESTHESIA INDUCTION; ARTICLE; BODY TEMPERATURE; CLINICAL ARTICLE; CONTROLLED STUDY; CORTICOTROPIN BLOOD LEVEL; DOPAMINE BLOOD LEVEL; DRUG MEGADOSE; FEMALE; GENERAL ANESTHESIA; GLUCOSE BLOOD LEVEL; HEART RATE; HEMODYNAMICS; HUMAN; HYDROCORTISONE BLOOD LEVEL; INFUSION RATE; INSULIN BLOOD LEVEL; MALE; MEAN ARTERIAL PRESSURE; NORADRENALIN BLOOD LEVEL; ORTHOPEDIC SURGERY; RANDOMIZED CONTROLLED TRIAL; STRESS; TOURNIQUET; URINE VOLUME; VASOPRESSIN BLOOD LEVEL;

EID: 84880019794     PISSN: None     EISSN: 14712253     Source Type: Journal    
DOI: 10.1186/1471-2253-13-14     Document Type: Article

References (15)

1. Hughes MA, Glass PS, Jacobs JR. Context-sensitive Half-time in Multicompartment Pharmacokinetic models for Intravenous Anesthetic Drugs. Anesthesiology 1992, 76:334-341. 10.1097/00000542-199203000-00003, 1539843.
2. Egan TD, Lemmens HJ, Fiset P, Hermann DJ, Muir KT, Stanski DR, Shafer SL. The Pharmacokinetics of the New Short-acting Opioid Remifentanil (GI87084B) in Healthy Adult Male Volunteers. Anesthesiology 1993, 79:881-892. 10.1097/00000542-199311000-00004, 7902032.
3. Weale NK, Rogers CA, Cooper R, Nolan J, Wolf AR. Effect of remifentanil infusion rate on stress response to the pre-bypass phase of paediatric cardiac surgery. Br J Anaesth 2004, 92:187-194. 10.1093/bja/aeh038, 14722167.
4. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 2008, 362:1921-1928.
5. Chrousos GP. The Hypothalamic-Pituitary-Adrenal axis and the immune/inflammatory reaction. N Engl J Med 1995, 332:1351-1362. 10.1056/NEJM199505183322008, 7715646.
6. Ahlers O, Nachtigall I, Lenze J, Goldmann A, Schulte E, Höhne C, Fritz G, Keh D. Intraoperative thoracic epidural anaesthesia attenuates stress-induced immunosuppression in patients undergoing major abdominal surgery. Br J Anaesth 2008, 101:781-787. 10.1093/bja/aen287, 18922851.
7. Desborough JP. The stress response to trauma and surgery. Br J Anaesth 2000, 85:109-117. 10.1093/bja/85.1.109, 10927999.
8. Dungan KM, Braithwaite SS, Preiser JC. Stress hyperglycaemia. Lancet 2009, 373:1798-1807. 10.1016/S0140-6736(09)60553-5, 3144755, 19465235.
9. Ouattara A, Lecomte P, Le Manach Y, Landi M, Jacqueminet S, Platonov I, Bonnet N, Riou B, Coriat P. Poor intraoperative blood glucose control is associated with a worsened hospital outcome after cardiac surgery in diabetic patients. Anesthesiology 2005, 103:687-694. 10.1097/00000542-200510000-00006, 16192760.
10. Ammori JB, Sigakis M, Englesbe MJ, O'Reilly M, Pelletier SJ. Effect of intraoperative hyperglycemia during liver transplantation. J Surg Res 2007, 140:227-233. 10.1016/j.jss.2007.02.019, 17509267.
11. Manetti L, Bogazzi F, Giovannetti C, Raffaelli V, Genovesi M. Changes in coagulation indexes and occurrence of venous thromboembolism in patients with Cushing's syndrome: results from a prospective study before and after surgery. Eur J Endocrinol 2010, 163:783-791. 10.1530/EJE-10-0583, 20696792.
12. Winterhalter M, Brandl K, Rahe-Meyer N, Osthaus A, Hecker H, Hagl C, Adams HA, Piepenbrock S. Endocrine stress response and inflammatory activation during CABG surgery. A randomized trial comparing remifentanil infusion to intermittent fentanyl. Eur J Anaesthesiol 2008, 25:326-335. 10.1017/S0265021507003043, 18005471.
13. Ihn CH, Joo JD, Choi JW, Kim DW, Jeon YS, Kim YS, Jung HS, Kwon SY. Comparison of stress hormone response, interleukin-6 and anaesthetic characteristics of two anaesthetic techniques: volatile induction and maintenance of anaesthesia using sevoflurane versus total intravenous anaesthesia using propofol and remifentanil. J Int Med Res 2009, 37:1760-1771. 10.1177/147323000903700612, 20146874.
14. Ke JJ, Zhan J, Feng XB, Wu Y, Rao Y, Wang YL. A comparison of the effect of total intravenous anaesthesia with propofol and remifentanil and inhalational anaesthesia with isoflurane on the release of pro- and anti-inflammatory cytokines in patients undergoing open cholecystectomy. Anaesth Intensive Care 2008, 36:74-78.
15. Shinoda T, Kobayashi R, Takamichi Y, Mizunuma M, Iizuka H, Kuwasako Y. Changes in Blood Glucose Levels during Laparoscopic Surgery with High and Low Doses of Remifentanil. J Clin Anesthesia 2011, 35:185-190. (In Japanese).