[Successful management with remifentanil of tracheal stent insertion keeping spontaneous breathing in a patient with severe respiratory insufficiency].
We report that spontaneous breathing under total intravenous anesthesia by 0.1 microg x kg(-1) x hr(-1) of remifentanil and 3 mg x kg(-1) x hr(-1) of propoforl can be maintained during the surgery for tracheobronchial stent insertion in a man with severe trachea stenosis. Remifentanil is an ultra-short acting narcotic, and is excellent for relieving pain maintaining stable hemodynamics. As this drug is used at a low dose, it is suitable for this case which requires a short time of operation, minimally invasive surgery, prevention of moving, and the spontaneous breathing. We could achieve steady respiratory and hemodynamic control.
Department of Anesthesiology, Osaka City General Hospital, Osaka 534-0021.
Takashi
T
Tsunetoh
Ryu
R
Okutani
Tomoko
T
Koshimichi
D000368:Aged; D000771:Anesthesia, Intravenous; D020680:Bronchoscopes; D006801:Humans; D008297:Male; D010880:Piperidines; D015742:Propofol; D000077208:Remifentanil; D012119:Respiration; D012131:Respiratory Insufficiency / Q000209:etiology*; D012720:Severity of Illness Index; D015607:Stents; D014135:Tracheal Stenosis / Q000150:complications / Q000601:surgery*
D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol