Remifentanil Compared With Sufentanil Does Not Enhance Fast-Track Possibilities in Cardiac Surgery—A Randomized Study

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 30, Issue 5, 2016, Pages 1212-1220

  Bhavsar, Rajesh ^a   Ryhammer, Pia Katerina ^a   Greisen, Jacob ^a   Rasmussen, Linda A ^a   Jakobsen, Carl Johan ^a  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

Author keywords

cardiac recovery; fast track; ischemic heart disease; remifentanil; sufentanil

Indexed keywords

REMIFENTANIL; SUFENTANIL; INTRAVENOUS ANESTHETIC AGENT; PIPERIDINE DERIVATIVE;

AGED; ANALGESIA; AORTA VALVE REPLACEMENT; ARTICLE; CARDIOPULMONARY BYPASS; CONTINUOUS INFUSION; CONTROLLED STUDY; CONVALESCENCE; CORONARY ARTERY BYPASS GRAFT; DIABETES MELLITUS; DRUG DOSE INCREASE; EXTUBATION; FEMALE; HEART EJECTION FRACTION; HEART INFARCTION; HEART SURGERY; HEMODYNAMIC MONITORING; HOSPITAL DISCHARGE; HUMAN; HYPERTENSION; INTENSIVE CARE UNIT; LENGTH OF STAY; MAINTENANCE DRUG DOSE; MAJOR CLINICAL STUDY; MALE; OUTCOME VARIABLE; POSTOPERATIVE CARE; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TREATMENT DURATION; VENTILATOR WEANING; COMPARATIVE STUDY; MIDDLE AGED; STATISTICS AND NUMERICAL DATA;

AGED; ANESTHETICS, INTRAVENOUS; CARDIAC SURGICAL PROCEDURES; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT DISCHARGE; PIPERIDINES; PROSPECTIVE STUDIES; SUFENTANIL;

EID: 84962144494     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2015.12.021     Document Type: Article

References (29)

1. 1 Lassnigg, A., Hiesmayr, M.J., Bauer, P., et al. Effect of centre-, patient- and procedure-related factors on intensive care resource utilisation after cardiac surgery. Intensive Care Med 28 (2002), 1453–1461.
2. 2 Silbert, B.S., Myles, P.S., Is fast-track cardiac anesthesia now the global standard of care?. Anesth Analg 108 (2009), 689–691.
3. 3 Cheng, D.H.C., Karski, J., Peniston, C., et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: A prospective randomized controlled trial. Anesthesiology 85 (1996), 1300–1310.
4. 4 Cheng, D.C.H., Fast-track cardiac surgery pathways: Early extubation, process of care, and cost containment. Anesthesiology 88 (1998), 1429–1433.
5. 5 Cheng, D.C.H., Karski, J., Peniston, C., et al. Morbidity outcome in early versus conventional tracheal extubation following coronary artery bypass graft: A prospective randomized controlled trial. J Thorac Cardiovasc Surg 112 (1996), 755–764.
6. 6 Dowd, N.P., Karski, J.M., Cheng, D.C., et al. Fast–track cardiac anaesthesia in the elderly: Effect of two different anaesthetic techniques on mental recovery. Br J Anaesth 86 (2001), 68–76.
7. 7 Engoren, M., Luther, G., Fenn-Buderer, N.C., A comparison of fentanyl, sufentanil, and remifentanil for fast-track cardiac anesthesia. Anesth Analg 93 (2001), 859–864.
8. 8 Tritapepe, L., Voci, P., Di Giovanni, C., et al. Alfentanil and sufentanil in fast-track anesthesia for coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 16 (2002), 157–162.
9. 9 Svircevic, V., Nierich, A.P., Moons, K.G., et al. Fast-track anesthesia and cardiac surgery: A retrospective cohort study of 7989 patients. Anesth Analg 108 (2009), 727–733.
10. 10 Lahtinen, P., Kokki, H., Hynynen, M., Remifentanil infusion does not induce opioid tolerance after cardiac surgery. J Cardiothorac Vasc Anesth 22 (2008), 225–229.
11. 11 Ender, J., Borger, M.A., Scholz, M., et al. Cardiac surgery fast-track treatment in a postanesthetic care unit: Six-month results of the Leipzig fast-track concept. Anesthesiology 109 (2008), 61–66.
12. 12 Häntschel, D., Fassl, J., Scholz, M., et al. Leipzig fast-track protocol for cardio-anesthesia. Effective, safe and economical. Anaesthesist 58 (2009), 379–386.
13. 13 Probst, S., Cech, C., Haentschel, D., et al. A specialized post-anaesthetic care unit improves fast-track management in cardiac surgery: A prospective randomized trial. Critical Care, 18, 2014, 468.
14. 14 el-Ganzouri, A.R., McCarthy, R.J., Tuman, K.J., et al. Preoperative airway assessment: Predictive value of a multivariate risk index. Anesth Analg 82 (1996), 1197–1204.
15. 15 Jakobsen, C.-J., Vestergaard, A.L., Nygaard, M., et al. A cardiac surgery ICU discharge model; for research and logistic purpose. Open Cardiovasc Thorac Surg J 2 (2009), 12–17.
16. 16 Danish Society of Anaesthesiology and Intensive Care Medicine's recommendation for the preparation of printing criteria from the anesthesia department surgical ward after anesthesia in Denmark. Available at: http://www.dasaim.dk/wp-content/uploads/2014/02/rekomm_udarb_udskrivkrit_til_kir_stamafd.pdf. Accessed month, date, year.
17. 17 Nielsen, D.V., Bhavsar, R., Greisen, J., et al. High thoracic epidural analgesia in cardiac surgery. Part 2: High thoracic epidural analgesia does not reduce time in ICU or improve quality of recovery in ICU. J Cardiothor Vasc Anesth 26 (2012), 1048–1054.
18. 18 Jakobsen, C.J., Bhavsar, R., Nielsen, D.V., et al. High thoracic epidural analgesia in cardiac surgery. Part 1: High thoracic epidural analgesia improves cardiac function in cardiac surgery patients. J Cardiothor Vasc Anesth 26 (2012), 1039–1047.
19. 19 Elliott, P., O'Hare, R., Bill, K.M., et al. Severe cardiovascular depression with remifentanil. Anesth Analg 91 (2009), 58–61.
20. 20 DeSouza, G., Lewis, M.C., TerRiet, M.F., Severe bradycardia after remifentanil. Anesthesiology 87 (1997), 1019–1020.
21. 21 Bedirli, N., Boyaci, A., Akin, A., et al. Comparison of the effects of fentanyl and remifentanil on splanchnic tissue perfusion during cardiac surgery. J Anesth 21 (2007), 94–98.
22. 22 Myles, P.S., Hunt, J.O., Fletcher, H., et al. Remifentanil, fentanyl, and cardiac surgery: A double-blinded, randomized, controlled trial of costs and outcomes. Anesth Analg 95 (2002), 805–812.
23. 23 Kaye, A.D., Hoover, J.M., Kaye, A.J., et al. Morphine, opioids, and the feline pulmonary vascular bed. Acta Anaesth Scand 52 (2008), 931–937.
24. 24 Liu, Y., Zheng, Y., Gu, X., Ma, Z., The efficacy of NMDA receptor antagonists for preventing remifentanil-induced increase in postoperative pain and analgesic requirement: A meta-analysis. Minerva Anaesthesiol 78 (2012), 653–667.
25. 25 Derrode, N., Lebrun, F., Levron, J.C., et al. Influence of peroperative opioid on postoperative pain after major abdominal surgery: Sufentanil TCI versus remifentanil TCI. A randomized, controlled study. Br J Anaesth 91 (2003), 842–849.
26. 26 Fletcher, D., Martinez, V., Opioid-induced hyperalgesia in patients after surgery: A systematic review and a meta-analysis. Br J Anaesth 112 (2014), 991–1004.
27. 27 Rauf, K., Vohra, A., Fernandez-Jimenez, P., et al. Remifentanil infusion in association with fentanyl-propofol anaesthesia in patients undergoing cardiac surgery: Effects on morphine requirement and postoperative analgesia. Br J Anaesth 95 (2005), 611–615.
28. 28 Van Gulik, L., Ahlers, S.J., van de Garde, E.M., et al. Remifentanil during cardiac surgery is associated with chronic thoracic pain 1 yr after sternotomy. Br J Anaesth 109 (2012), 616–622.
29. 29 Angst, M.S., Clark, J.D., Opioid-induced hyperalgesia: A qualitative systematic review. Anaesthesiology 104 (2006), 570–587.