Tsunetoh T, Okutani R, Koshimichi T
[Successful management with remifentanil of tracheal stent insertion keeping spontaneous breathing in a patient with severe respiratory insufficiency] [English Abstract, Journal Article]
Masui 2009 Oct; 58(10):1303-5.
We report that spontaneous breathing under total intravenous anesthesia by 0.1 microg x kg(-1) x hr(-1) of remifentanil and 3 mg x kg(-1) x hr(-1) of propoforl can be maintained during the surgery for tracheobronchial stent insertion in a man with severe trachea stenosis. Remifentanil is an ultra-short acting narcotic, and is excellent for relieving pain maintaining stable hemodynamics. As this drug is used at a low dose, it is suitable for this case which requires a short time of operation, minimally invasive surgery, prevention of moving, and the spontaneous breathing. We could achieve steady respiratory and hemodynamic control.
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