[Comparative study of anesthesia with remifentanil VS fentanyl in terms of postoperative pain and shivering].
BACKGROUND
Remifentanil is reported to be cleared rapidly more than other any opioids. It is considered that this characteristic may lead to an increase in postoperative pain and shivering after general anesthesia with remifentanil. This study was aimed to examine the influence of remifentanil to these adverse symptoms in comparison with fentanyl.


METHODS
The subjects consisted of 41 female patients having undergone a total intravenous anesthesia with remifentanil or/and fentanyl for gynecological laparoscopic surgery.


RESULTS
There was no significant difference in the occurrence of postoperative pain. Shivering occurred significantly more frequently in patients who had received remifentanil anesthesia, associated with a significant lower body temperature after general anesthesia.


CONCLUSIONS
Careful management of intraoperative body temperature is important to prevent the occurrence of shivering after total intravenous general anesthesia with remifentanil.
Naito
Aya
A
Department of Anesthesia, Nissay Hospital, Osaka 550-0012.
Endo
Takao
T
Inoue
Junichi
J
Okuno
Satoko
S
Uchida
Osamu
O
Kawahara
Ryoko
R
D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D001831:Body Temperature; D005260:Female; D005283:Fentanyl / Q000009:adverse effects*; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007430:Intraoperative Care; D010535:Laparoscopy; D010149:Postoperative Pain; D010880:Piperidines / Q000009:adverse effects*; D015742:Propofol; D000077208:Remifentanil; D012189:Retrospective Studies; D012768:Shivering
D010880:Piperidines; D000077208:Remifentanil; D005283:Fentanyl; D015742:Propofol