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Curr Opin Anaesthesiol · Jun 2016
ReviewThe use of remifentanil during general anesthesia for caesarean section.
- Marc Van de Velde.
- Department of Cardiovascular Sciences, Department of Anesthesiology, UZ Leuven, KU Leuven, Leuven, Belgium.
- Curr Opin Anaesthesiol. 2016 Jun 1; 29 (3): 257-60.
Purpose Of ReviewThe purpose is to review the neonatal and maternal effects of remifentanil given at induction of general anesthesia for caesarean section and prior to delivery of the baby.Main FindingsRemifentanil seems to have short-lived respiratory depressant effects in approximately 50% of neonates, requiring short periods of mask ventilation or tactile stimulation of the neonate. Remifentanil produces excellent maternal hemodynamic stability avoiding tachycardia and hypertension, possibly reducing the risk of maternal awareness.SummaryRemifentanil can be safely used at induction of general anesthesia provided healthcare workers are available to manage short-lived neonatal depression.
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