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OPIOIDES EN CIRUGIA CARDIOVASCULAR

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OPIOIDES EN CIRUGIA CARDIOVASCULAR

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La combinación de opioides en la inducción y mantenimiento de la anestesia permite minimizar sus efectos colaterales y la duración de los procedimientos anestésicos.
trita9.jpg Autor:
Luigi Tritapepe
Columnista Experto de SIIC

Institución:
Department of Anesthesiological Science Critical Care and Pain Therapy Policlinico Umberto I Rome, Italy

Artículos publicados por Luigi Tritapepe
Coautores
Pierangelo Di Marco, MD*  Romina Casaretti, MD**  Paolo Pietropaoli, MD*** 
Assistant Professor of Anesthesia and Intensive Care, Department of Anesthesiological Science, Critical Care and Pain Therapy. University of Rome “La Sapienza”, Policlinico Umberto I*
Fellow in Anesthesia and Intensive Care, Department of Anesthesiological Science, Critical Care and Pain Therapy. University of Rome “La Sapienza”, Policlinico Umberto I**
Full Professor, Head of the Dpt of Anesthesia and Intensive Care, Department of Anesthesiological Science, Critical Care and Pain Therapy. University of Rome “La Sapienza”, Policlinico Umberto I***
Recepción del artículo
12 de Octubre, 2004 		Aprobación
5 de Noviembre, 2004
Primera edición
11 de Agosto, 2005 		Segunda edición, ampliada y corregida
7 de Junio, 2021

OPIOIDES EN CIRUGIA CARDIOVASCULAR

Resumen
En los pacientes cardíacos sometidos a cirugía cardiovascular la combinación secuencial de opioides como el alfentanilo y el sufentanilo en la inducción y mantenimiento de la anestesia permite minimizar los efectos colaterales de estos fármacos así como disminuir la duración de los procedimientos anestésicos.

Palabras clave
Alfentanilo, sufentanilo, anestesia cardíaca, extubación anticipada, hemodinámica, farmacocinética y farmacodinamia de los opioi, farmacocinética, farmacodinámica de los opioides


Artículo completo
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COMBINATION OF OPIOIDS IN CARDIAC SURGERY

Abstract
In the cardiac patients undergoing cardiovascular procedures, the sequencial opiod’s combination including alfentanil and sufentanil during the anesthesia’s induction and maintenance periods minimize the side effects of these drugs and shorten the lenght of the procedures.

Key words
Alfentanil, sufentanil, cardiac anesthesia, early extubation, hemodynamic, pharmacokinetics-pharmacodynamics of opioids, Alfentanil


Full text
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Especialidades
Principal: 
Relacionadas: Anestesiología, Cardiología, Cirugía, Farmacología, Medicina Farmacéutica, Medicina Interna, Toxicología



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Tritapepe, Luigi
Bibliografía del artículo
  1. Miller DR, Wellwood M, Teasdale SJ et al. Effects of anesthetic induction on myocardial function and metabolism: a comparison of fentanyl, sufentanil and alfentanil. Can J Anaesth 35:219-33, 1988.
  2. de Lange S, Boscoe MJ, Stanley TH, Pace N. Comparison of sufentanil-O2 and fentanil-O2 for coronary artery surgery. Anesthesiology 56:112-8, 1982.
  3. Bovill JG, Warren PJ, Schuller JL et al. Comparison of fentanyl, sufentanil, and alfentanil anesthesia in patients undergoing valvular heart surgery. Anesth Analg 63:1081-6, 1984.
  4. Sprigge JS, Wynands JE, Whalley DG et al. Fentanyl infusion anesthesia for aortocoronary bypass surgery: plasma levels and hemodynamic response. Anesth Analg 61:972-8, 1982.
  5. Hug CC Jr, Burm AG, de Lange S. Alfentanil pharmacokinetics in cardiac surgical patients. Anesth Analg 78:231-9, 1994.
  6. Cheng DCH, Karski J, Peniston C et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: A prospective, randomized, controlled trial. Anesthesiology 85:1300-10, 1996.
  7. Verrier ED, Wright IH, Cochran RP, Spiess BD: Changes in cardiovascular surgical approaches to achieve early extubation. J Cardiothorac Vasc Anesth 9 (5 Suppl 1):10-5, 1995.
  8. Klineberg PL, Geer RT, Hirsh RA, Aukburg SJ. Early extubation after coronary artery bypass graft surgery. Crit Care Med 5:272-4, 1977.
  9. Prakash O, Jonson B, Meij S et al. Criteria for early extubation after intracardiac surgery in adults. Anesth Analg 56:703-8, 1977.
  10. Cheng DCH, Karski J, Peniston C et al. Morbidity outcome in early versus conventional tracheal extubation after coronary artery bybass grafting: A prospective randomized, controlled trial. J Thorac Cardiovasc Surg 112:755-64, 1996.
  11. Shapiro BA, Lichtenthal PR. Inhalation-based anesthetic techniques are the key to early extubation of the cardiac surgical patient. J Cardiothorac Vasc Anesth 7:135-6, 1993.
  12. Joachimsson PO, Nystrom SO, Tyden H. Early extubation after coronary artery surgery in efficiently rewarmed patients: a postoperative comparison of opioid anesthesia versus inhalational anesthesia and thoracic epidural analgesia. J Cardiothorac Vasc Anesth 3:444-54, 1989.
  13. Swenson JD, Hullander RM, Wingler K, Leivers D. Early extubation after cardiac surgery using combined intrathecal sufentanil and morphine. J Cardiothorac Vasc Anesth 8:509-14, 1994.
  14. Hughes MA, Glass PS, Jacobs JP. Context-sensitive half-time in multicompartimental pharmacokinetic models for intravenous anesthetic drugs. Anesthesiology 76:334-41, 1992.
  15. Thompson IR, Blair T, Henderson B et al. Concentration-response relationships for fentanyl and sufentanil in patients undergoing coronary artery bypass grafting. Anesthesiology 89:852-61, 1998.
  16. Shafer A, Sung ML, White PF. Pharmacokinetics and pharmacodynamics of alfentanil infusions during general anesthesia. Anesth Analg 65:22-7, 1986.
  17. Sear JW. Recent advances and developments in the clinical use of i.v. opioids during the peroperative period. Br J Anaesth 81:38-50, 1998.
  18. Kautto UM. Attenuation of the circulatory response to laringoscopy and intubation by fentanyl. Acta Anaesthesiol Scand 26:217-21, 1982.
  19. Wynands JE, Towsend GE, Wong P et al. Blood pressure response and plasma fentanyl concentrations during high- and very high-dose fentanyl anesthesia for coronary artery surgery. Anesth Analg 62:661-5, 1983.
  20. Gepts E, Shafer SL, Camu F et al. Linearity of pharmacokinetics and model estimation of sufentanil. Anesthesiology 83:1194-1204, 1995.
  21. Benefiel DJ, Roizen MF. Opioids and outcome in peripheral vascular surgery, in Estafanous FG (ed): Opioids in anesthesia. Stoneham, MA, Butterworth-Heinemann, 1991, pp 129-138.
  22. Philbin DM, Rosow CE, Schnneider RC et al. Fentanyl and sufentanil anesthesia revisited: how much is enough Anesthesiology 73:5-11, 1990.
  23. Egan TD, Lemmers HJM, Fiset P et al. The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers. Anesthesiology 79:881-92, 1993.
  24. Bacon R, Chandrasekan V, Haigh A et al. Early extubation after open-heart surgery with total intravenous anaesthetic technique. Lancet 345:133-4, 1995.
  25. Duthie DJR, Stevens JJWM, Doyle AR, Baddoo HHK. Remifentanil and coronary artery surgery. Lancet 345:649-50, 1997.
  26. Tritapepe L, Voci P, Di Giovanni C et al. Alfentanil and sufentanil in fast-track anesthesia for coronary artery bypass graft surgery. J Cardioth Vasc Anesth 16:157-62, 2002.
 
 
 
 
 
 
 
 
 
 
 
 
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