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Clinical study of etomidate emulsion combined with remifentanil in general anesthesia
BACKGROUND: The aim of this study was to investigate and evaluate the safety, recovery time, and side effects of general anesthesia with different doses of etomidate emulsion combined with remifentanil. METHODS: One hundred ten patients of American Society of Anesthesiologists class 1 or 2 who under...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753064/ https://www.ncbi.nlm.nih.gov/pubmed/23990706 http://dx.doi.org/10.2147/DDDT.S45979 |
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author | Weng, Digui Huang, Menghua Jiang, Runnian Zhan, Rufu Yang, Chunni |
author_facet | Weng, Digui Huang, Menghua Jiang, Runnian Zhan, Rufu Yang, Chunni |
author_sort | Weng, Digui |
collection | PubMed |
description | BACKGROUND: The aim of this study was to investigate and evaluate the safety, recovery time, and side effects of general anesthesia with different doses of etomidate emulsion combined with remifentanil. METHODS: One hundred ten patients of American Society of Anesthesiologists class 1 or 2 who underwent gynecological general anesthesia with a 1–3-hour operation time were randomly divided into the following groups: etomidate emulsion group 1 ([E1] n = 30); etomidate emulsion group 2 ([E2] n = 30); etomidate emulsion group 3 ([E3] n = 20); and propofol group ([P group] n = 30). For induction of anesthesia, 0.3 mg/kg etomidate emulsion, and the continuous remifentanil infusion also to induce anesthesia (0.1~0.3 μg · kg(−1) · min(−1)), was applied in all cases. Afterwards, continuous infusion of etomidate emulsion and remifentanil, respectively (E1: 10 μg · kg(−1) · min(−1) and 0.1 μg · kg(−1) · min(−1); E2: 15 μg · kg(−1) · min(−1) and 0.2 μg · kg(−1) · min(−1); E3: 20 μg · kg(−1) · min(−1) and 0.2 μg · kg(−1) · min(−1)), and propofol (P group: 6~10 mg · kg(−1) · h(−1)) were administered. Changes in blood flow kinetics and adverse reactions were noted and compared between the four groups. RESULTS: Both arterial blood pressure (BP) and heart rate (HR) decreased after induction of anesthesia (P < 0.05). Systolic (SBP) and diastolic (DBP) BP changed only slightly, and HRs were slightly infected in E1, E2, and E3. SBP, DBP, and HR during the operation all decreased significantly in P group (P < 0.05). Muscle tremor at the time of induction occurred in 13 cases (11.8%). Following etomidate emulsion anesthesia maintenance, postoperative agitation occurred in seven cases (8.75%), lethargy in 20 cases (25%), and vomiting in 19 cases (23.75%). No adverse reactions were found in P group. CONCLUSION: Continuous infusion of etomidate emulsion at 10 μg · kg(−1) · minute(−1) combined with remifentanil during anesthesia has the advantages of hemodynamic stability, quick wake-up, and few adverse reactions. Increasing the dose of etomidate emulsion increases the incidence of adverse reactions. |
format | Online Article Text |
id | pubmed-3753064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-37530642013-08-29 Clinical study of etomidate emulsion combined with remifentanil in general anesthesia Weng, Digui Huang, Menghua Jiang, Runnian Zhan, Rufu Yang, Chunni Drug Des Devel Ther Rapid Communication BACKGROUND: The aim of this study was to investigate and evaluate the safety, recovery time, and side effects of general anesthesia with different doses of etomidate emulsion combined with remifentanil. METHODS: One hundred ten patients of American Society of Anesthesiologists class 1 or 2 who underwent gynecological general anesthesia with a 1–3-hour operation time were randomly divided into the following groups: etomidate emulsion group 1 ([E1] n = 30); etomidate emulsion group 2 ([E2] n = 30); etomidate emulsion group 3 ([E3] n = 20); and propofol group ([P group] n = 30). For induction of anesthesia, 0.3 mg/kg etomidate emulsion, and the continuous remifentanil infusion also to induce anesthesia (0.1~0.3 μg · kg(−1) · min(−1)), was applied in all cases. Afterwards, continuous infusion of etomidate emulsion and remifentanil, respectively (E1: 10 μg · kg(−1) · min(−1) and 0.1 μg · kg(−1) · min(−1); E2: 15 μg · kg(−1) · min(−1) and 0.2 μg · kg(−1) · min(−1); E3: 20 μg · kg(−1) · min(−1) and 0.2 μg · kg(−1) · min(−1)), and propofol (P group: 6~10 mg · kg(−1) · h(−1)) were administered. Changes in blood flow kinetics and adverse reactions were noted and compared between the four groups. RESULTS: Both arterial blood pressure (BP) and heart rate (HR) decreased after induction of anesthesia (P < 0.05). Systolic (SBP) and diastolic (DBP) BP changed only slightly, and HRs were slightly infected in E1, E2, and E3. SBP, DBP, and HR during the operation all decreased significantly in P group (P < 0.05). Muscle tremor at the time of induction occurred in 13 cases (11.8%). Following etomidate emulsion anesthesia maintenance, postoperative agitation occurred in seven cases (8.75%), lethargy in 20 cases (25%), and vomiting in 19 cases (23.75%). No adverse reactions were found in P group. CONCLUSION: Continuous infusion of etomidate emulsion at 10 μg · kg(−1) · minute(−1) combined with remifentanil during anesthesia has the advantages of hemodynamic stability, quick wake-up, and few adverse reactions. Increasing the dose of etomidate emulsion increases the incidence of adverse reactions. Dove Medical Press 2013-08-20 /pmc/articles/PMC3753064/ /pubmed/23990706 http://dx.doi.org/10.2147/DDDT.S45979 Text en © 2013 Weng et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed. |
spellingShingle | Rapid Communication Weng, Digui Huang, Menghua Jiang, Runnian Zhan, Rufu Yang, Chunni Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title | Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title_full | Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title_fullStr | Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title_full_unstemmed | Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title_short | Clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
title_sort | clinical study of etomidate emulsion combined with remifentanil in general anesthesia |
topic | Rapid Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753064/ https://www.ncbi.nlm.nih.gov/pubmed/23990706 http://dx.doi.org/10.2147/DDDT.S45979 |
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