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Optimal remifentanil dosing for LMS remains unclear; level-5 comparison leaves open best strategy pending larger trials.
The hemodynamic responses to tracheal intubation and placement of a suspension rigid laryngoscope are increases of the heart rate and blood pressure during laryngeal microscopic surgery (LMS). Therefore, several methods have been used to attenuate these responses. The aim of the present study was to compare the effects of three different infusion rate of remifentanil on the hemodynamic responses and recovery characteristics of patients who are under going LMS.
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Kim et al. (2008) studied this question.
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