Literature DB >> 9389262

Effect of temperature and cardiopulmonary bypass on the pharmacokinetics of remifentanil.

D Russell1, D Royston, P H Rees, S K Gupta, G N Kenny.   

Abstract

Sixteen patients undergoing coronary revascularization requiring cardiopulmonary bypass received remifentanil 2 micrograms kg-1 or 5 micrograms kg-1 by infusion over 1 min after sternotomy but before commencing cardiopulmonary bypass, during hypothermic cardiopulmonary bypass and during cardiopulmonary bypass after rewarming. Hypothermic cardiopulmonary bypass reduced the clearance of remifentanil by an average of 20%, and this was attributed to the effect of temperature on blood and tissue esterase activity. Reductions in arterial pressure occurred with administration of both doses during normothermia only.

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Year:  1997        PMID: 9389262     DOI: 10.1093/bja/79.4.456

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN: 0007-0912            Impact factor:   9.166


  10 in total

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8.  A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy.

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Review 9.  Pharmacokinetic alterations after severe head injury. Clinical relevance.

Authors:  B A Boucher; S D Hanes
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10.  Accidental subcutaneous remifentanil infusion as a cause of delayed awakening after craniotomy.

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  10 in total

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