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Revista Cubana de Anestesiología y Reanimación

versão On-line ISSN 1726-6718

Resumo

FALCON GUERRA, Miriam et al. Intravenous total anesthesia with remifentanil and fentanyl as analgesic base in elective thoracic surgery. Rev cuba anestesiol reanim [online]. 2020, vol.19, n.2, e561.  Epub 20-Maio-2020. ISSN 1726-6718.

Introduction:

Maintaining adequate oxygenation during single-lung ventilation is a fundamental concern faced by the anesthesiologist during thoracic surgery; therefore, a constant search is maintained for the ideal anesthetic method that helps achieve this goal is maintained.

Objectives:

To evaluate the outcomes of two total intravenous anesthesia techniques with remifentanil and fentanyl as analgesic base and to identify the onset of complications during surgery.

Methods:

A prospective and quasi-experimental study was carried out at Dr. Salvador Allende Clinical-Surgical Hospital, between January 2013 and December, with 40 ASA II or III patients who required intrathoracic procedures. These were divided into two groups: A (remifentanil-propofol) and B (fentanyl-propofol). Hemodynamic variables and others of oxygenation during one-lung ventilation were studied, together with anesthetic recovery time (spontaneous ventilation, ocular opening, extubation) and postoperative analgesia.

Results:

There were no significant variations in the hemodynamics or oxygenation of patients with the use of both anesthetic techniques; however, awakening and short-term postoperative recovery was better in group A. Postoperative pain intensity, based on the analogue-visual scale, was lower in group B.

Conclusion:

Both techniques are effective for thoracic surgical procedures, with minimal effect in hemodynamics and oxygenation parameters.

Palavras-chave : intravenous total anesthesia; remifentanil; fentanyl.

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