title: [Comparative study of anesthesia with remifentanil VS fentanyl in terms of postoperative pain and shivering].
abstract: 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.
authors.affiliation: Department of Anesthesia, Nissay Hospital, Osaka 550-0012.
authors.forename: Aya
authors.initials: A
authors.lastname: Naito
authors.forename: Takao
authors.initials: T
authors.lastname: Endo
authors.forename: Junichi
authors.initials: J
authors.lastname: Inoue
authors.forename: Satoko
authors.initials: S
authors.lastname: Okuno
authors.forename: Osamu
authors.initials: O
authors.lastname: Uchida
authors.forename: Ryoko
authors.initials: R
authors.lastname: Kawahara
mesh_terms: 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
chemical_list: D010880:Piperidines; D000077208:Remifentanil; D005283:Fentanyl; D015742:Propofol