the effect of remifentanil– propofol compared with fentanyl– propofol on urine output in patients undergoing lumbar posterior spinal fusion

نویسندگان

valiollah hassani iran university of medical sciences

abolfazl rahimzadeh iran university of medical sciences

nasim nikoubakht iran university of medical sciences

azadeh sayarifard tehran university of medical sciences

چکیده

background: remifentanil is a narcotic drug used in anaesthesia for establishment of hemodynamic stability. the purpose of this study was to compare the effects of remifentanil and fentanyl on urine excretion. methods: in a randomized clinical trial, 60 patients, who were candidates for elective surgery for lumbar posterior spinal fusion, were divided randomly into two groups of 30 as remifentanil – propofol (r) and fentanyl- propofol (f). maintenance of anaesthesia drugs in group r included 100 mcg/kg/min propofol and 0.5- 0.25 mcg/kg/min remifentanil. it included 100 mcg/kg/min propofol and 5- 0.5 mcg/kg/min fentanyl in group f. vital signs and urine output were recorded every half an hour. results: the mean age of patients was 49.5± 12.7 years. urine output in group r showed significantly greater reduction than in group f (p< 0.001). increase of urine output was seen in both groups over the time. conclusion: urine output in patients undergoing lumbar posterior spinal fusion who received remifentanil was less compared to the fentanyl group.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Propofol-alfentanil vs propofol-remifentanil for posterior spinal fusion including wake-up test.

BACKGROUND Wake-up test can be used during posterior spinal fusion (PSF) to ensure that spinal function remains intact. This study aims at assessing the characteristics of the wake-up test during propofol-alfentanil (PA) vs propofol-remifentanil (PR) infusions for PSF surgery. METHODS Sixty patients with scoliosis and candidates for PSF surgery were randomly allocated in either alfentanil (PA...

متن کامل

A Comparison between Sedative Effect of Propofol-Fentanyl and Propofol-Midazolam Combinations in Microlaryngeal Surgeries

Considering the growing trend of laryngeal surgeries and the need to protect the airway during and after surgery, among several therapeutic regimens to induce sedation, two regimens of propofol-fentanyl and propofol-midazolam were compared in microlaryngeal surgeries. Forty ASA I-II class patients undergoing microlaryngeal surgeries and referring routinely for postoperative visits were randomly...

متن کامل

A Comparison between Sedative Effect of Propofol-Fentanyl and Propofol-Midazolam Combinations in Microlaryngeal Surgeries

Considering the growing trend of laryngeal surgeries and the need to protect the airway during and after surgery, among several therapeutic regimens to induce sedation, two regimens of propofol-fentanyl and propofol-midazolam were compared in microlaryngeal surgeries. Forty ASA I-II class patients undergoing microlaryngeal surgeries and referring routinely for postoperative visits were randomly...

متن کامل

A Comparative Study of Remifentanil/Propofol versus Alfentanil/Propofol for Wake-up Test in Major Spinal Surgery

Background: Early warning of potential damage to spinal cord during major spinal surgery is highly desirable to prevent post-operative neurological deficits. Wake-up test is a simple, safe and reliable method of recognition of such a complication, and has been extensively used in many spinal surgical units. The present study is evaluating the remifentanil, propofol versus alfentanil, propofol a...

متن کامل

Propofol and fentanyl anaesthesia for patients with low cardiac output state undergoing cardiac surgery: comparison with high-dose fentanyl anaesthesia.

We have compared the haemodynamic effects of an infusion of propofol 8 mg kg-1 h-1 followed by 4 mg kg-1 h-1 and fentanyl 15 micrograms kg-1 (group 1) with midazolam 3-6 mg and fentanyl 60 micrograms kg-1 (group 2) in patients with a low cardiac output state undergoing cardiac surgery. Heart rate was lower in group 1 throughout the period before cardiopulmonary bypass. There were no significant...

متن کامل

Remifentanil versus dexmedtomidine for posterior spinal fusion surgery

  Background: Controlling the hemodynamic situation of patients who have spinal operation is of prime importance, and maintaining the heart rate and blood pressure in normal or low- normal levels in these patients can reduce their bleeding loss. One of the commonly used drugs for this purpose is remifentanil. Another sedative-hypnotic-analgesic drug, with acceptable effects is dexmedetomidine. ...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
archives of anesthesiology and critical care

جلد ۲، شماره ۲، صفحات ۱۷۵-۱۷۸

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023