Remifentanil for obstetric analgesia and anesthesia: a review of the literature.

Remifentanil in the clinical practice.

BACKGROUND AND OBJECTIVES Remifentanil is the newest opioid for anesthetic procedures. This study aimed at reviewing the literature, with emphasis on information of clinical interest published from January 2000 to December 2002. CONTENTS Major remifentanil studies are described and grouped by areas of interest for clinical anesthesia. Issues such as recommended dose, equipment and their corre...

Remifentanil versus Fentanyl for Assisted Reproductive Technologies :Effect on Hemodynamic Recovery from Anesthesia and Outcome of ART Cycles

General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation

Valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. Cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. We described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. Cesarean s...

Options for systemic labor analgesia.

PURPOSE OF REVIEW This article reviews the challenging practice of systemic analgesia as an alternative to epidural analgesia for labor pain, and places remifentanil within the context of opioid analgesics suitable for managing for labor pain. RECENT FINDINGS Although systemic opioids have long been used for labor analgesia, they have become less popular because of frequent maternal and neona...

A Comparison of the Effects of Fentanyl and Remifentanil on Nausea, Vomiting, and Pain after Cesarean Section

Background: The effects of different opioids on postoperative nausea and vomiting (PONV) and pain have not been conclusively determined. The aim of this study was to compare the effects of fentanyl, remifentanil or fentanyl plus morphine on the incidence of PONV and pain in women subjected to cesarean section under general anesthesia. Methods: The study was a randomized clinical trial r...