August 1, 2000Anesthesia & Analgesia

Fast-Track Cardiac Anesthesia: Use of Remifentanil Combined with Intrathecal Morphine as an Alternative to Sufentanil During Desflurane Anesthesia

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Why the study?

Does remifentanil combined with intrathecal morphine improve postoperative pain control compared to sufentanil in patients undergoing fast-track cardiac surgery?

Population

40 patients undergoing cardiac surgery in a fast-track program (n=20 per group)

Comparison

Remifentanil combined with intrathecal morphine… vs Sufentanil and desflurane

Design

Cohort

Follow-up

Postoperative period

Authors

EZEduardo ZárateUniversidad Autónoma de Baja California PLPaige LathamMarymount University PWPaul F. WhiteForest Institute

Discussion

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Implication

Remifentanil plus intrathecal morphine was associated with better analgesia after fast-track cardiac surgery; hypothesis-generating and requires randomized confirmation.

Structured PICO

Does remifentanil combined with intrathecal morphine improve postoperative pain control compared to sufentanil in patients undergoing fast-track cardiac surgery?

Population

40 patients undergoing cardiac surgery in a fast-track program (n=20 per group)

Intervention

Remifentanil (0.1 μg·kg−1·min−1) combined with intrathecal morphine (8 μg/kg) and desflurane (3-10%)

Comparator

Sufentanil (0.3 μg·kg−1·h−1) and desflurane (3-10%)

Outcome

Postoperative pain control (assessed by visual analog pain scores, patient-controlled analgesic requirements, and patient satisfaction)patient reported

Remifentanil combined with intrathecal morphine provides superior postoperative pain control compared to sufentanil during desflurane anesthesia for fast-track cardiac surgery.

Cite This Study

Zárate et al. (2000) studied this question.

synapsesocial.com/papers/6a8516fad0366b4bb554dd4c https://doi.org/10.1213/00000539-200008000-00006

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Implication

Remifentanil plus intrathecal morphine was associated with better analgesia after fast-track cardiac surgery; hypothesis-generating and requires randomized confirmation.

Fast-Track Cardiac Anesthesia: Use of Remifentanil Combined with Intrathecal Morphine as an Alternative to Sufentanil During Desflurane Anesthesia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Fast-Track Cardiac Anesthesia: Use of Remifentanil Combined with Intrathecal Morphine as an Alternative to Sufentanil During Desflurane Anesthesia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider