Journal of Pain and Symptom Management
Volume 19, Issue 6 , Pages 468-471 , June 2000

Conscious Sedation with Remifentanil During Painful Medical Procedures

  • Ronald S Litman, DO, FAAP

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Ronald S. Litman, DO, Department of Anesthesiology, Box 604, Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, NY 14642

,Accepted 14 July 1999.

References 

  1. Powers KS, van der Jagt E, Sullivan JS, Rubenstein JS, Litman RS. Safe and effective deep sedation with propofol of children undergoing painful procedures in the outpatient setting. Pediatrics. 1997;100(Suppl):458
  2. McDowall RH, Scher CS, Barst SM. Total intravenous anesthesia for children undergoing brief diagnostic or therapeutic procedures. J Clin Anesth. 1995;7:273–280
  3. Burkle H, Dunbar S, Van Aken H. Remifentanil (A novel, short-acting, μ-opioid). Anesth Analg. 1996;83:646–651
  4. Egan TD, Lemmens HJM, Fiset P, Hermann DJ, Muir KT, Stanski DR, et al. The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers. Anesthesiology. 1993;79:881–892
  5. American Academy of Pediatrics . Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Pediatrics. 1992;89:1110–1115
  6. Weil JV, McCullough RE, Kline JS, Sodal IE. Diminished ventilatory response to hypoxia and hypercapnia after morphine in normal man. N Engl J Med. 1975;292:1103–1106
  7. Bailey PL, Andriano KP, Goldman M, Stanley TH, Pace NL. Variability of the respiratory response to diazepam. Anesthesiology. 1986;64:460–465
  8. Yaster M, Nichols DG, Deshphande JK, Wetzel RC. Midazolam-fentanyl intravenous sedation in children (case report of respiratory arrest). Pediatrics. 1990;86:463–467
  9. Bailey PL, Pace NL, Ashburn MA, Moll JWB, East KA, Stanley TH. Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology. 1990;73:826–830
  10. Bennett JA, Abrams JT, VanRiper DF, Horrow JC. Difficult or impossible ventilation after sufentanil-induced anesthesia induction is caused primarily by vocal cord closure. Anesthesiology. 1997;87:1070–1074

☆ This material was presented, in part, at the 1998 annual meeting of the Society for Pediatric Anesthesia, Scottsdale, AZ, USA.

PII: S0885-3924(00)00141-X

Journal of Pain and Symptom Management
Volume 19, Issue 6 , Pages 468-471 , June 2000

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