ABSTRACT
The history of smoking and premedication did not influence the proportion of patients who had a cough response to fentanyl when administrated as first agent during induction in anesthesia.
Subject(s)
Cough/chemically induced , Fentanyl/adverse effects , Premedication/methods , Smoking , Temazepam/administration & dosage , Anesthetics, Intravenous/administration & dosage , Anesthetics, Intravenous/adverse effects , Anti-Anxiety Agents/administration & dosage , Cough/prevention & control , Elective Surgical Procedures/methods , Fentanyl/administration & dosage , HumansABSTRACT
In this prospective case-series study, a balanced anesthetic scheme of sevoflurane in nitrous oxide supplemented with remifentanil and sustained neuromuscular block was applied in nine patients scheduled for laparoscopic adrenalectomy for pheochromocytoma. Laparoscopic adrenalectomy to treat pheochromocytoma results in marked catecholamine release during pneumoperitoneum and tumor manipulation. Remifentanil infusion was adjusted to maintain systolic arterial pressure between 120-170 mmHg. Increased infusion rate of remifentanil was used (up to 3 microg/kg/min) to prevent and treat marked hemodynamic changes from catecholamine release during tumor manipulation. Hpotension after tumor removal was treated with additional colloids fluids and decreasing the remifentanil infusion rate by 25-50%.
