Why the study?
The induction of general anesthesia can cause hemodynamic instability, and remifentanil is often given to suppress this response.
Does remifentanil infusion effectively attenuate the hemodynamic response during induction of anesthesia in both hypertensive and normotensive patients?
Population
Hypertensive (n = 102) and normotensive (n = 107) patients undergoing induction of general anesthesia
Comparison
Hypertensive patients vs normotensive patients receiving remifentanil infusion
Design
Prospective observational study
Follow-up
10 minutes after intubation
Authors
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May support remifentanil to blunt induction responses in hypertensives; observational data leaves open need for RCTs before practice change.
Does remifentanil infusion effectively attenuate the hemodynamic response during induction of anesthesia in both hypertensive and normotensive patients?
Remifentanil infusion effectively maintains hemodynamic stability during anesthesia induction in both hypertensive and normotensive patients.
Lee et al. (2019) studied this question.
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