Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery
Background: Various methods have been used to reduce postoperative pain after thoracic surgery. However, these methods may affect the patient’s respiratory response and delay recovery from anesthesia. We aimed to evaluate the effects of fentanyl and remifentanil during extubation after video-assiste...
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Korean Society for Thoracic & Cardiovascular Surgery
2021-06-01
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doaj-dbbc4d4c0dcb484cbfe679082e785ccf2021-06-04T02:16:25ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142021-06-0154320020510.5090/jcs.20.136Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic SurgeryHee Won Son0https://orcid.org/0000-0002-8035-062XJi Min Lee1https://orcid.org/0000-0001-9317-0313Se Hun Park2https://orcid.org/0000-0003-2264-4627Yong Jic Lee3https://orcid.org/0000-0002-0837-4336Ji Mi Oh4https://orcid.org/0000-0002-2365-0642Su Kyung Hwang5https://orcid.org/0000-0003-2759-2774Ulsan University HospitalUlsan University HospitalUlsan University HospitalUlsan University HospitalUlsan University HospitalUlsan University HospitalBackground: Various methods have been used to reduce postoperative pain after thoracic surgery. However, these methods may affect the patient’s respiratory response and delay recovery from anesthesia. We aimed to evaluate the effects of fentanyl and remifentanil during extubation after video-assisted thoracic surgery (VATS). Methods: This study included 45 randomly-selected male patients who underwent VATS for pneumothorax between July 2011 and August 2012. We divided the participants into 3 groups: the F group, which received a bolus injection of 1.0 μg/kg of fentanyl; the R1 group, which received a 0.04 μg/kg/min remifentanil infusion; and the R2 group, which received a 0.08 μg/kg/min remifentanil infusion. Hemodynamics, pain, cough, consciousness level, and nausea were assessed for each group. Results: The number and severity of coughs were lower in the R1 and R2 groups than in the F group, and there were no differences between the R1 and R2 groups. Respiratory depression and loss of consciousness were not observed in any of the patients, and there were no differences in hemodynamics. Conclusion: In comparison with fentanyl, remifentanil did not result in a wide fluctuation of blood pressure and heart rate upon emergence from general anesthesia. Moreover, remifentanil contributed to cough suppression and postoperative pain control. Remifentanil seems to be a safe and effective analgesic after VATS.anesthesiacoughfentanylremifentanilthoracic surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hee Won Son Ji Min Lee Se Hun Park Yong Jic Lee Ji Mi Oh Su Kyung Hwang |
spellingShingle |
Hee Won Son Ji Min Lee Se Hun Park Yong Jic Lee Ji Mi Oh Su Kyung Hwang Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery Journal of Chest Surgery anesthesia cough fentanyl remifentanil thoracic surgery |
author_facet |
Hee Won Son Ji Min Lee Se Hun Park Yong Jic Lee Ji Mi Oh Su Kyung Hwang |
author_sort |
Hee Won Son |
title |
Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery |
title_short |
Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery |
title_full |
Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery |
title_fullStr |
Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery |
title_full_unstemmed |
Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery |
title_sort |
fentanyl versus remifentanil for cough suppression and recovery after video-assisted thoracic surgery |
publisher |
Korean Society for Thoracic & Cardiovascular Surgery |
series |
Journal of Chest Surgery |
issn |
2765-1606 2765-1614 |
publishDate |
2021-06-01 |
description |
Background: Various methods have been used to reduce postoperative pain after thoracic surgery. However, these methods may affect the patient’s respiratory response and delay recovery from anesthesia. We aimed to evaluate the effects of fentanyl and remifentanil during extubation after video-assisted thoracic surgery (VATS).
Methods: This study included 45 randomly-selected male patients who underwent VATS for pneumothorax between July 2011 and August 2012. We divided the participants into 3 groups: the F group, which received a bolus injection of 1.0 μg/kg of fentanyl; the R1 group, which received a 0.04 μg/kg/min remifentanil infusion; and the R2 group, which received a 0.08 μg/kg/min remifentanil infusion. Hemodynamics, pain, cough, consciousness level, and nausea were assessed for each group.
Results: The number and severity of coughs were lower in the R1 and R2 groups than in the F group, and there were no differences between the R1 and R2 groups. Respiratory depression and loss of consciousness were not observed in any of the patients, and there were no differences in hemodynamics.
Conclusion: In comparison with fentanyl, remifentanil did not result in a wide fluctuation of blood pressure and heart rate upon emergence from general anesthesia. Moreover, remifentanil contributed to cough suppression and postoperative pain control. Remifentanil seems to be a safe and effective analgesic after VATS. |
topic |
anesthesia cough fentanyl remifentanil thoracic surgery |
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