Consideraciones para el uso de opioides de acción corta en anestesia general
Considerations for the use of short-acting opioids in general anesthesia
Jeff E. Mandel, MD, MS
Journal of Clinical Anesthesia Volume 26, Issue 1, Supplement , Pages S1-S7, February 2014
Abstract
Anesthesiologists play a critical role in facilitating a positive perioperative experience and early recovery for patients. Depending on the kind of procedure or surgery, a wide variety of agents and techniques are currently available to anesthesiologists to administer safe and efficacious anesthesia. Notably, the fast-track or ambulatory surgery environment requires the use of agents that enable rapid induction, maintenance, and emergence combined with minimal adverse effects. Short-acting opioids demonstrate a safe and rapid onset/offset of effect; that short effect is both predictable and precise. It also ensures easier titration and reduced or rapidly reversed side effects. Due to their distinct pharmacokinetic and pharmacodynamic properties, and, in one case, rapid extra-hepatic clearance of remifentanil, these agents have several applications in general anesthesia.
Keywords: General anesthesia, Propofol, Total intravenous anesthesia, Short-acting opioids, Remifentanil, Alfentanil, Sufentanil
http://download.journals.elsevierhealth.com/pdfs/journals/0952-8180/PIIS0952818013003735.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Considerations for the use of short-acting opioids in general anesthesia
Jeff E. Mandel, MD, MS
Journal of Clinical Anesthesia Volume 26, Issue 1, Supplement , Pages S1-S7, February 2014
Abstract
Anesthesiologists play a critical role in facilitating a positive perioperative experience and early recovery for patients. Depending on the kind of procedure or surgery, a wide variety of agents and techniques are currently available to anesthesiologists to administer safe and efficacious anesthesia. Notably, the fast-track or ambulatory surgery environment requires the use of agents that enable rapid induction, maintenance, and emergence combined with minimal adverse effects. Short-acting opioids demonstrate a safe and rapid onset/offset of effect; that short effect is both predictable and precise. It also ensures easier titration and reduced or rapidly reversed side effects. Due to their distinct pharmacokinetic and pharmacodynamic properties, and, in one case, rapid extra-hepatic clearance of remifentanil, these agents have several applications in general anesthesia.
Keywords: General anesthesia, Propofol, Total intravenous anesthesia, Short-acting opioids, Remifentanil, Alfentanil, Sufentanil
http://download.journals.elsevierhealth.com/pdfs/journals/0952-8180/PIIS0952818013003735.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
No hay comentarios:
Publicar un comentario