Table 3. Early Postoperative Recovery and Effects of Different Types of Intravenous Opioids [7, 10, 18-23, 30].
Studies | Drugs | Clinical variables | Results |
---|---|---|---|
Guy et al, 1997 [10] | Remifentanil vs. fentanyl | ET Quality of recovery |
No statistical difference Low recovery score within 60 min more in fentanyl group Naloxone use more in fentanyl group |
Citerio et al, 2012 [23] | Sevoflurane/remifentanil vs. sevoflurane/fentanyl vs. propofol/remifentanil | Aldrete score | No statistical difference |
Gerlach et al, 2003 [18] | Remifentanil/propofol vs. sufentanil IV pushes/propofol | ET | Remifentanil group had earlier ET 6.4 min vs. 14.3 min (P = 0.003) |
Balakrishnan et al, 2000 [19] | Remifentanil vs. fentanyl | ET (P = 0.04) Obay commands (P < 0.001) ET (P = 0.04) Recovery in 10 min (P = 0.005) Recovery in 20 min |
Better in remifentanil group No statistical difference |
Van der Zwan et al, 2005 [22] | Remifentanil/piritramide vs. fentanyl | GCS Aldrete score |
No statistical difference |
Del Gaudio et al, 2006 [7] | Remifentanil vs. fentanyl | ET Obey commands Orientationx3 Aldrete score |
Remifentanil group faster (P < 0.001) |
Djian et al, 2006 [20] | Remifentanil vs. sufentanil | ET | No statistical difference |
Bilotta et al, 2007 [21] | Remifentanil vs. sufentanil | ET SOMCT |
No statistical difference Higher in remifentanil group (P < 0.0001) |
From et al, 1990 [30] | Alfentanil vs. fentanyl vs. sufentanil | Alertness | More in alfentanil group |
ET: extubation time; GCS: Glasgow coma scale; SOMCT: short orientation memory concentration test.