eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
1/2010
vol. 7
 
Share:
Send email
Share:
abstract:

ANESTEZJOLOGIA I INTENSYWNA TERAPIA
General anaesthesia with remifentanil or fentanyl for elderly patients during thoracoscopic procedures

Hanna Misiołek
,
Dariusz Budziński
,
Maciej Przybyła
,
Anna Wojtacha
,
Marek Filipowski
,
Jacek Karpe

Kardiochirurgia i Torakochirurgia Polska 2010; 7 (1): 47-53
Online publish date: 2010/03/31
View full text Get citation
 
Background: Non-invasive procedures including thoracoscopies cause less operative trauma and stress and in the postoperative period fewer pain ailments, which results in a shorter hospitalization period and decrease of treatment costs. The operative technique that requires one lung ventilation and lateral decubitus position leads to a series of ventilatory and cardiovascular disturbances. The anaesthesia risk is elevated, especially in elderly patients.

Aim: To determine whether the use of opioids with different duration of action (remifentanil or fentanyl) influences the cardi-ovascular system response to one lung ventilation in elderly patients.

Material and methods: The study had a prospective and randomized design. In the test group I (n = 19) for the analgesia remifentanil 0.5 µg kg-1 (bolus) and then continuous infusion of 0.05-0.1 µg kg-1 was used. In the control group II (n = 21) for the analgesia fentanyl in standard doses was used. For direct blood pressure and cardiac output monitoring a special artery sensor (FloTrac) was used. The values of the following parameters were specified: HR, SBP, DBP, MBP, SV, CI, SVR.

Results: The values of haemodynamic parameters measured during the study were comparable in both groups.

Conclusion: The use of different action time opioids does not influence the cardiovascular system reaction during one lung ventilation in elderly patients.
keywords:

remifentanil, one lung ventilation, elderly patients
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.