Manual single infusion of combined remifentanil and propofol for anesthesia during laparoscopic gynecology procedures: a case series

• Published in: Revista española de anestesiología y reanimación Vol. 57; no. 4; p. 220
• Main Authors: Gómez Menéndez, J M, Tafur Betancourt, L A, Quintero Cifuentes, I F, Figueroa Vega, S P, Serna Murillo, A M, Gutiérrez Ramos, A
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.04.2010
• Subjects: Adult; Anesthetics, Intravenous - administration & dosage; Female; Genital Diseases, Female - surgery; Humans; Infusions, Intravenous - methods; Laparoscopy; Middle Aged; Piperidines - administration & dosage; Propofol - administration & dosage; Young Adult
• ISSN: 0034-9356
• DOI: 10.1016/S0034-9356(10)70208-5

To describe a single manual infusion technique for total intravenous anesthesia with remifentanil and propofol. Descriptive study of a series of 30 women classified as ASA 1 or 2 who received total intravenous anesthesia by means of a single manual infusion of a combination of remifentanil and propofol for laparoscopic gynecology procedures. The patients received 5 microg of remifentanil plus 2 mg of propofol per milliliter of normal saline solution. The rate of infusion was established according to remifentanil requirements and modified in accordance with the bispectral (BIS) index. Sufficient hemodynamic stability was maintained in all patients, with BIS values between 40 and 60. The average time until awakening was 5.2 minutes after the anesthetic infusion had been halted. Total intravenous anesthesia by means of a single manual infusion of remifentanil and propofol provided appropriate anesthetic and surgical conditions, with rapid, predictable awakening.