IMR Press / CEOG / Volume 37 / Issue 3 / pii/1630630227043-1758067403

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Comparison of bolus remifentanil-propofol versus bolus fentanyl-propofol for dilatation and sharp curettage
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1 Department of Anesthesiology and Reanimation, Adnan Menderes University, Aydın
2 Department of Obstetrics and Gynecology, Kasimpasa Military Hospital, Istanbul
3 Department of Anesthesiology and Reanimation, GATA Military Hospital, Ankara
4 Department of Obstetrics and Gynecology, GATA Military Hospital, Ankara (Turkey)
Clin. Exp. Obstet. Gynecol. 2010, 37(3), 209–211;
Published: 10 September 2010
Abstract

Background and Objective: The study was conducted to determine whether bolus administrations of remifentanil-propofol could provide adequate analgesia and similar patient comfort with a faster recovery profile compared with bolus administrations of fentanyl- propofol during dilatation and sharp curettage. Methods: The patients were randomized to a remifentanil group (n = 36) or fentanyl group (n = 36). The remifentanil group received an IV bolus dose of 1 μg kg–1 remifentanil. The fentanyl group received an IV bolus dose of fentanyl 0.5 μg kg-1. The Verbal Pain Scale (VPS), modified Aldrete scores, blood pressure, heart rate, peripheric oxygen saturation, recovery time from anesthesia and adverse events during or after surgery were evaluated. Results: The groups were found to be similar in duration of the surgical procedure, anesthesia time and hemodynamic variables and VPS scores. Patients in the remifentanil group recovered from anesthesia earlier. Modified Aldrete scores were higher in the remifentanil group at 5 and 10 min postoperatively. The frequency of perioperative adverse events did not differ significantly between the groups. Conclusions: Bolus injections of remifentanil appear to be a safe and effective alternative to fentanyl, producing faster recovery in providing analgesia during dilatation and sharp curettage procedures.
Keywords
Remifentanil
Fentanyl
Dilatation and Curettage
Propofol
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