Effect of remifentanil on postoperative nausea and vomiting: a randomized pilot study.

Abstract:

:Opioid-related postoperative nausea and vomiting should not occur following remifentanil administration because of its relatively short time to elimination. However, studies have indicated that the incidence of postoperative nausea and vomiting associated with remifentanil is similar to that with other opioids. Hence, we aimed to determine whether intraoperative remifentanil itself is associated with postoperative nausea and vomiting when postoperative pain is managed without opioid use. In this prospective pilot study, 150 patients who underwent unilateral upper limb surgery under general anesthesia with brachial plexus block were included. Patients in the remifentanil and control groups received 0.5 µg/kg/min remifentanil and saline, respectively. Postoperative pain was managed using a brachial plexus block, non-steroidal anti-inflammatory drugs, and acetaminophen. The presence of postoperative nausea and vomiting within the first 24 h after anesthesia was assessed by an evaluator blinded to patient allocation. Eight patients were excluded from the final analysis, resulting in 72 and 70 patients in the remifentanil and control groups, respectively. Postoperative nausea and vomiting within 24 h after surgery occurred in 11 and 9 patients in the remifentanil and control groups, respectively. These data suggest that remifentanil use only minimally affects the incidence of postoperative nausea and vomiting under sevoflurane anesthesia. UMIN Clinical Trials Registry identification number: UMIN000016110.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Watanabe T,Moriya K,Tsubokawa N,Baba H

doi

10.1007/s00540-018-2550-4

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

781-785

issue

5

eissn

0913-8668

issn

1438-8359

pii

10.1007/s00540-018-2550-4

journal_volume

32

pub_type

杂志文章,随机对照试验
  • Dexmedetomidine: a review of applications for cardiac surgery during perioperative period.

    abstract::Cardiac surgery is associated with a high incidence of cardiovascular and other complications during the perioperative period that translate into increased mortality and prolonged hospital stays. Safe comprehensive perioperative management is required to eliminate these adverse events. Dexmedetomidine is a selective α...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-014-1857-z

    authors: Zhang X,Zhao X,Wang Y

    更新日期:2015-02-01 00:00:00

  • Increased membrane fluidity of erythrocytes in a case with malignant hyperthermia.

    abstract::In a case with malignant hyperthermia (MH), membrane fluidity of erythrocytes was studied by electron spin resonance (ESR)-spin labeling technique. The measurement was made with samples obtained during and after pyrexic crisis until full recovery. The results indicated that membrane fluidity increased during pyrexic c...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054070010088

    authors: Kawamoto M,Fujii K,Kikuchi H,Morio M

    更新日期:1987-03-01 00:00:00

  • Tracheomalacia after reoperation for an adenomatous goiter located in a unique position.

    abstract::Tracheomalacia after thyroidectomy is a life-threatening situation. However, it is difficult to predict postoperative tracheal obstruction with certainty. A case of a 74-year-old woman with a long-standing adenomatous goiter (98 g) is reported. She had undergone partial right lobe thyroidectomy 54 years earlier. After...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1181-9

    authors: Nakadate Y,Fukuda T,Hara H,Tanaka M

    更新日期:2011-10-01 00:00:00

  • Transversus abdominis plane block with 0.25 % levobupivacaine: a prospective, randomized, double-blinded clinical study.

    abstract:PURPOSE:Because blood concentrations of local anesthetics sometimes reach toxic levels after transversus abdominis plane (TAP) block, reduction of the dose has been necessary to reduce the risk of systemic toxicity. We therefore investigated the effects of TAP block with 0.25 % levobupivacaine (100 mg) on postoperative...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-015-1993-0

    authors: Ishida T,Sakamoto A,Tanaka H,Ide S,Ishida K,Tanaka S,Mori T,Kawamata M

    更新日期:2015-08-01 00:00:00

  • Changes in free and total catecholamine concentrations in plasma in patients undergoing coronary artery bypass grafting under high-dose fentanyl anesthesia.

    abstract::We measured free and total catecholamine in ten patients undergoing coronary artery-bypass grafting under high-dose fentanyl (93.9 +/- 2.2 microg.kg(-1), mean +/- SE) anesthesia. Arterial blood samples were obtained: 1) before induction of anesthesia (control), 2) 1 min after intubation, 3) 1 min after skin incision, ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054030070086

    authors: Takino Y,Shimada M,Miyagawa F

    更新日期:1993-01-01 00:00:00

  • Postoperative cognitive dysfunction after noncardiac surgery: effects of metabolic syndrome.

    abstract:PURPOSE:Vascular risk factors, including metabolic syndrome, are known to contribute to the development of cognitive dysfunction. We tested the hypothesis that patients with metabolic syndrome are more likely to develop cognitive dysfunction after noncardiac surgery. METHODS:Age- and education-balanced patients (n = 6...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1137-0

    authors: Hudetz JA,Patterson KM,Amole O,Riley AV,Pagel PS

    更新日期:2011-06-01 00:00:00

  • Antinociceptive effect of intracerebroventricular administration of D-serine on formalin-induced pain.

    abstract:PURPOSE:In a previous study using the tail-flick test, we found that intracerebroventricular administration of D-serine, an endogenous co-agonist at the glycine sites of N-methyl-D-aspartate (NMDA) receptors, elicited an antinociceptive effect on thermal nociception. The purpose of the present study was to evaluate the...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1708-3

    authors: Ito M,Yoshikawa M,Ito K,Matsuda M,Jin XL,Takahashi S,Kobayashi H,Suzuki T

    更新日期:2014-04-01 00:00:00

  • Effective analgesia with ultrasound-guided interscalene brachial plexus block for postoperative pain control after arthroscopic rotator cuff repair.

    abstract:PURPOSE:Ultrasound (US)-guided continuous interscalene brachial plexus block (CBPB) is known to provide effective pain relief for arthroscopic rotator cuff repair. This study was conducted to compare analgesic efficacy and forearm muscle tone of the basal infusion rate and bolus dose of 0.2 % ropivacaine for US-guided ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-013-1681-x

    authors: Shin SW,Byeon GJ,Yoon JU,Ok YM,Baek SH,Kim KH,Lee SJ

    更新日期:2014-02-01 00:00:00

  • Gastric emptying time after breakfast in healthy adult volunteers using ultrasonography.

    abstract::There is little evidence of gastric excretion after ingestion of solids. We examined gastric emptying times after ingesting normal breakfast in healthy adult volunteer using ultrasonography. Eight adult volunteers fasted for 8 h, and we examined the gastric antral area in the right lateral decubitus position using ult...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-019-02694-6

    authors: Sugita M,Matsumoto M,Tsukano Y,Fukunaga C,Yamamoto T

    更新日期:2019-12-01 00:00:00

  • Oral 30% glucose provides sufficient sedation in newborns during MRI.

    abstract:PURPOSE:Newborns are often sedated during MRI but sedation itself creates adverse events and management is more challenging in this environment. Oral glucose/sucrose administration has been studied in newborns during painful procedures; however, its effectiveness in keeping newborns sleepy and motionlessness during pai...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-016-2296-9

    authors: Eker HE,Cok OY,Çetinkaya B,Aribogan A

    更新日期:2017-04-01 00:00:00

  • Lack of the mechanoreceptor influences on ventilatory control during halothane anesthesia in humans.

    abstract::Mechanical influences independent of chemoreceptor function on ventilatory control were studied in halothane-anesthetized, artificially ventilated patients using the technique reported by Altose et al. (Respir Physiol 66: 171-180, 1986). Contribution of mechanical factor was indirectly assessed by comparing the values...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054020060387

    authors: Kochi T,Ide T,Isono S,Mizuguchi T

    更新日期:1992-10-01 00:00:00

  • Relationship between plasma neutrophil elastase and respiratory index of patients who had undergone cardiac surgery with cardiopulmonary bypass.

    abstract::To evaluate the effects of cardiopulmonary bypass (CPB) on the release of polymorphonuclear leukocyte elastase (PMN-E) and postoperative pulmonary function, the perioperative plasma levels of PMN-E in α1-antitrypsin complex (EAC) and hydrogen peroxide concentration in the expired breath were measured in eight patients...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02479945

    authors: Yusa T,Nohara A,Sunagawa M

    更新日期:1995-12-01 00:00:00

  • Incidence of hypoxia and related events detected by pulse oximeters provided by the Lifebox Foundation in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo.

    abstract::In recent decades anesthesia safety has not been improved in low-income countries. This prospective audit describes the incidence of hypoxia and related events detected among a cohort of patients undergoing surgery in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo, West Africa, by using puls...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-015-2048-2

    authors: Sama HD,Maman AF,Walker IA

    更新日期:2015-12-01 00:00:00

  • Bilateral tension pneumothoraces following jet ventilation via an airway exchange catheter.

    abstract::We report a case involving a 55-year-old man who had a recent resection of tracheal carcinoma and tracheal reanastomosis. He subsequently developed tracheomalacia and anastomotic dehiscence requiring airway stenting via an armored endotracheal tube (ETT). Placement of the armored ETT was technically difficult. It requ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-006-0463-0

    authors: Nunn C,Uffman J,Bhananker SM

    更新日期:2007-01-01 00:00:00

  • Timing of injection and plasma concentration of lidocaine before endotracheal intubation.

    abstract::The optimal time of intravenous lidocaine for attenuation of pressor responses to laryngoscopy and endotracheal intubation was evaluated in fifty adult patients and the correlation between plasma lidocaine level and its clinical effects were also studied. The plasma lidocaine levels were highest 0.5 min after administ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054000040150

    authors: Okuda M,Ohi Y,Kurata M,Muneyuki M

    更新日期:1990-04-01 00:00:00

  • The effect of midazolam-thiopental coinduction on recovery in minor surgery.

    abstract:PURPOSE:The effects of midazolam-thiopental coinduction on recovery were investigated and compared with thiopental induction. METHODS:Fifty patients, ASA 1 or 2, undergoing minor orthopedic surgery, were randomly divided into coinduction and thiopental groups. During preoxygenation, the patients received midazolam 0.1...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s005400170044

    authors: Baykara N,Sahin T,Toker K

    更新日期:2001-01-01 00:00:00

  • Effects of sevoflurane with or without nitrous oxide on cardiac contractility and sinoatrial node rate.

    abstract::Cardiac effects of sevoflurane (SE) with or without nitrous oxide were examined in the canine blood-perfused papillary muscle and sinoatrial node preparations. Although SE depressed developed tension (DT), mean arterial pressure (MAP) and heart rate of the donor dog (DHR) dose dependently, sinoatrial rate (SAR) was no...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054090030145

    authors: Manabe M,Ookawa I,Nonaka A,Kumazawa T

    更新日期:1989-09-01 00:00:00

  • Dexmedetomidine protects against lung ischemia-reperfusion injury by the PI3K/Akt/HIF-1α signaling pathway.

    abstract:PURPOSE:To evaluate the role of the phosphatidylinositol 3 kinase (PI3K)/protein kinase B (Akt)/hypoxia-inducible factor 1α (HIF-1α) signaling pathway in the protection by dexmedetomidine against lung ischemia-reperfusion injury (IRI) in rats. METHODS:Forty-eight male Sprague-Dawley rats weighing 250-350 g were random...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2214-1

    authors: Zhang W,Zhang JQ,Meng FM,Xue FS

    更新日期:2016-10-01 00:00:00

  • Third nerve palsy associated with preeclampsia and HELLP syndrome.

    abstract::Preeclampsia can cause myriad organ dysfunction, including cranial nerve palsies that pose diagnostic and management dilemmas. We present an unusual case of third nerve palsy, (presenting as diplopia, ptosis) with hypertension, hyperreflexia, proteinuria, easy bruising in a parturient at 34 + 6/52 weeks of twins gesta...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1586-8

    authors: Chutatape A,Teoh WH

    更新日期:2013-10-01 00:00:00

  • A modified algorithm for choosing the most appropriate intraoperative pacemaker mode for patients with permanent pacemaker in non-cardiac surgery.

    abstract::To avoid the risk of R-on-T incident and the unnecessary decrease of cardiac output, we devised an algorithm consisting of six steps for choosing the most appropriate intraoperative pacemaker (PM) mode, which is modified from Heart Rhythm Society and the American Society of Anesthesiologists expert consensus statement...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02878-5

    authors: Terada Y,Miyashita T,Nagamine Y,Goto T

    更新日期:2021-02-01 00:00:00

  • The Pringle maneuver reduces the infusion rate of rocuronium required to maintain surgical muscle relaxation during hepatectomy.

    abstract:INTRODUCTION:We investigated the continuous infusion rates of rocuronium necessary to obtain the surgical muscle relaxation before, during, and after the Pringle maneuver on patients who underwent hepatectomy. METHODS:Fifteen patients were induced by total intravenous anesthesia with propofol. After obtaining the cali...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-018-2498-4

    authors: Kajiura A,Nagata O,Sanui M

    更新日期:2018-06-01 00:00:00

  • Relationship of abdominal circumference and trunk length with spinal anesthesia level in the term parturient.

    abstract:BACKGROUND:We hypothesized that body shape metrics influence the anatomy of spinal canal and intraabdominal pressure in three dimensions. We explored the effects of abdominal circumference, trunk length, and their combination on the level of spinal anesthesia in the term parturient in this study. METHODS:Thirty term p...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1715-4

    authors: Lee YH,Wang YC,Wang ML,Lin PL,Huang CH,Huang HH

    更新日期:2014-04-01 00:00:00

  • Addition of epinephrine to intrathecal tetracaine augments depression of the bispectral index during intraoperative propofol sedation.

    abstract:PURPOSE:Epinephrine added to local anesthetic agents for spinal anesthesia is frequently used to prolong the duration of anesthesia. Epinephrine stimulates the alpha-adrenoceptor, and it is known that the alpha2-adrenoceptor agonists have a central inhibitory effect. We investigated the effect of intrathecal epinephrin...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00540-004-0233-9

    authors: Yotsui T,Kitamura A,Ogawa R

    更新日期:2004-01-01 00:00:00

  • Rectal luminal Pr(CO2), measured by automated air tonometry, does not reflect gastric luminal Pr(CO2) in children.

    abstract::Rectal luminal regional P(CO2) (Pr(CO2)) was compared with gastric luminal Pr(CO2) measured by automated air tonometry at intervals of 10 min in 20 children aged 6-16 years scheduled for elective surgery under general anesthesia. In 5 patients, measurement of rectal Pr(CO2) failed because of catheter-related problems....

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-006-0410-0

    authors: Weiss M,Schmitz A,Salgo B,Dullenkopf A

    更新日期:2006-01-01 00:00:00

  • Drug-induced anaphylaxis during general anesthesia in 14 tertiary hospitals in Japan: a retrospective, multicenter, observational study.

    abstract::Since perioperative anaphylaxis occurs suddenly, and it can be life-threatening, anesthesiologists need to have sufficient knowledge of the epidemiology of perioperative anaphylaxis and appropriate coping strategies to deal with it. Recent studies conducted in Western countries reported the characteristics of perioper...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02886-5

    authors: Horiuchi T,Takazawa T,Orihara M,Sakamoto S,Nagumo K,Saito S

    更新日期:2021-02-01 00:00:00

  • Effects of dexmedetomidine on cerebral circulation and systemic hemodynamics after cardiopulmonary resuscitation in dogs.

    abstract:PURPOSE:Our purpose was to examine the effect of dexmedetomidine, when used with phenylephrine during cardiopulmonary resuscitation (CPR), on the cerebral and systemic circulations. METHODS:In pentobarbital-anesthetized, mechanically ventilated dogs, we evaluated pial vessel diameters, cerebral oxygen extraction, and ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-006-0402-0

    authors: Iida H,Iida M,Ohata H,Michino T,Dohi S

    更新日期:2006-01-01 00:00:00

  • Cardiac arrest in the left lateral decubitus position and extracorporeal cardiopulmonary resuscitation during neurosurgery: a case report.

    abstract::Cardiopulmonary resuscitation (CPR) in the lateral position during noncardiac surgery has been described in only a few reports in the past. Here, we report a case of cardiac arrest in a 61-year-old man undergoing microvascular decompression surgery for trigeminal neuralgia in the left lateral decubitus position. Durin...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-010-0911-8

    authors: Takei T,Nakazawa K,Ishikawa S,Uchida T,Makita K

    更新日期:2010-06-01 00:00:00

  • Effects of battery type and age on performance of rechargeable laryngoscopes.

    abstract::Optimal visualization of the glottis can be crucial to successful laryngoscopy. Limited information has been published on the light intensity delivered from laryngoscopes powered by rechargeable batteries. In this study the laryngoscope light intensity delivered from 10 nickel metal hydride (NiMH), 7 nickel cadmium (N...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1618-4

    authors: Milne AD,Brousseau CA

    更新日期:2013-10-01 00:00:00

  • Effects of epidural anesthesia on postoperative nausea and vomiting in laparoscopic gynecological surgery: a randomized controlled trial.

    abstract:PURPOSE:Patients undergoing laparoscopic gynecological surgery are susceptible to postoperative nausea and vomiting (PONV). We hypothesized that a combination of epidural and general anesthesia to minimize intraoperative opioid administration would reduce the incidence of PONV following laparoscopic gynecological surge...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-018-2525-5

    authors: Seki H,Furumoto K,Sato M,Kagoya A,Hashimoto H,Sekiguchi Y,Nakatsuka I

    更新日期:2018-08-01 00:00:00

  • The antiarrhythmic effect of flecainide on halothane-epinephrine induced arrhythmias in dogs.

    abstract::The antiarrhythmic effect of flecainide acetate (FCN), a newly developed class I antiarrhythmic drug, was evaluated on epinephrine (E)-halothane induced arrhythmias in dogs. The arrhythmogenic dose of E (ADE) under 1% of halothane was significantly increased from 0.71 +/- 0.08 to 1.08 +/- 0.11 and 1.84 +/- 0.23 micro ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054000040303

    authors: Iwatsuki N,Takahashi M,Satoh S,Tajima T

    更新日期:1990-10-01 00:00:00