Experiences of the Total Intravenous Anesthesia with Remifentanil in High-risk Preterm Infants: A case report / 대한마취과학회지

ABSTRACT

Advances in neonatal medicine have improved survival rate of preterm infants, but also increased incidence of painful intensive care such as various surgical procedures and mechanical ventilation. Anesthesiologists face many problems related to their prematurity during anesthesia. So they must make plans for anesthesia carefully. Remifentanil is a useful opioid for preterm infants because of it's unique pharmacokinetic properties, minimally altered by extremes of age or renal or hepatic dysfunction, a sparing effect of hypnotics and sedatives, and provision of optimal intraoperative analgesia without compromising recovery time.We describe the successful use of the total intravenous anesthesia with remifentanil in three preterm infants undergoing thoracic and abdominal surgery.