Table 2.
Studies of remifentanil use with regional anesthesia
Study | Surgery | Type of regional | Control group | Study group | N | Measured outcome | Adverse effects |
---|---|---|---|---|---|---|---|
Lauwers et al19 | Orthopedic | Spinal or brachial plexus | Placebo with midazolam | Remifentanil infusion with midazolam | 160 | >sedation and <midazolam required in study group | Respiratory depression, PONV, pruritis |
Lauwers et al20 | Orthopedic | Spinal or axillary | Propofol infusion | Remifentanil infusion | 28 | Sedation and comfort equal | >respiratory depression and nausea in study group |
Mingus et al21 | Orthopedic or urologic | Spinal, axillary or ankle | Propofol infusion | Remifentanil infusion | 107 | >pain relief in study group | >respiratory depression and nausea in study group |
Krenn et al23 | Carotid endarterectomy | Cervical plexus | Propofol infusion | Remifentanil | 60 | No difference in sedation or hemodynamic variables | >respiratory depression and PaCO2 in study group |
Servin et al22 | Orthopedic, urologic, gynecologic, vascular | Neuraxial or peripheral block | Propofol | Remifentanil | 125 | >pain relief in study group | >respiratory depression and nausea in study group |