[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.
Tsunetoh
Takashi
T
Department of Anesthesiology, Osaka City General Hospital, Osaka 534-0021.
Okutani
Ryu
R
Koshimichi
Tomoko
T
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