| Experiences of the Total Intravenous Anesthesia with Remifentanil in High-risk Preterm Infants: A case report. |
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Ho Young Lee, Soo Chang Son |
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Department of Anesthesiology and Pain Medicine, Chungnam National University College of Medicine, Daejeon, Korea. scson@cnu.ac.kr |
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| Abstract |
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Advances in neonatal medicine have improved survival rate of preterm infants, but also increased incidence of painful intensive care such as various surgical procedures and mechanical ventilation. Anesthesiologists face many problems related to their prematurity during anesthesia. So they must make plans for anesthesia carefully. Remifentanil is a useful opioid for preterm infants because of it's unique pharmacokinetic properties, minimally altered by extremes of age or renal or hepatic dysfunction, a sparing effect of hypnotics and sedatives, and provision of optimal intraoperative analgesia without compromising recovery time.We describe the successful use of the total intravenous anesthesia with remifentanil in three preterm infants undergoing thoracic and abdominal surgery. |
| Key Words:
preterm infants; remifentanil; total intravenous anesthesia |
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