remifentanil


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analgesic

 [an″al-je´zik]
1. relieving pain.
2. pertaining to analgesia.
3. an agent that relieves pain without causing loss of consciousness.
narcotic analgesic opioid analgesic.
nonsteroidal antiinflammatory analgesic (NSAIA) nonsteroidal antiinflammatory drug.
opiate analgesic (opioid analgesic) any of a class of compounds that bind with a number of closely related specific receptors (opioid receptors) in the central nervous system to block the perception of pain or affect the emotional response to pain; such compounds include opium and its derivatives, as well as a number of synthetic compounds, and are used for moderate to severe pain. Chronic administration or abuse may lead to dependence.

remifentanil

/rem·i·fen·ta·nil/ (rem″ĭ-fen´tah-nil) an opioid analgesic used as the hydrochloride salt as an anesthesia adjunct.

remifentanil

an opiate agonist analgesic.
indications It is used in combination with other drugs in general anesthesia and as a primary anesthetic in general surgery.
contraindications Use is prohibited in people with hypersensitivity to remifentanil and in children less than 12 years of age.
adverse effects Life-threatening effects are asystole, respiratory depression, and apnea. Other adverse effects include drowsiness, confusion, sedation, euphoria, delirium, agitation, anxiety, anorexia, constipation, cramps, dry mouth, urinary retention, dysuria, rash, urticaria, bruising, flushing, diaphoresis, pruritus, tinnitus, blurred vision, miosis, diplopia, palpitations, change in blood pressure, facial flushing, syncope, and rigidity. Common side effects are dizziness, headache, nausea, vomiting, and bradycardia.

remifentanil

Ultiva® Anesthesiology An opioid anesthetic that is 250-fold more potent than morphine. See Opioid anesthetic. Cf Muscle relaxant.

remifentanil

A narcotic painkiller used during the induction or maintenance of general anaesthesia. The use of painkillers during general anaesthesia is not, as it may seem, pointless. Painful stimuli act on the autonomic nervous system causing effects that can interfere with the smooth conduct of the anaesthetic and the post-operative period. A brand name is Ultiva.

remifentanil

a fentanyl derivative; a μ agonist.
References in periodicals archive ?
The total time-weighted pain appreciation score for the remifentanil PCA group was 25.
Remifentanil indications: Analgesic used during induction, maintenance and immediate postoperative period of general anaesthesia in combination with other anaesthetics; Analgesic component of monitored anaesthesia Remifentanil innovator: GlaxoSmithKline (Ultiva); Bioniche (Ultiva); Abbott Labs (Ultiva)
Enhancement of spinal N-methyi-D-aspartate receptor function by remifentanil action at delta-opioid receptors as a mechanism for acute opioid-induced hyperalgesia or tolerance.
Patients in both groups were treated with remifentanil infusion at 0.
Maintenance anesthesia consisted of propofol (100-200 [micro]g/kg/min) and remifentanil (0.
Matthew Toner was sentenced to 12 months' probation and 100 hours of community service at Birmingham Magistrates' Court last November for stealing remifentanil and hetamine.
All of the narcotics, with the exception of remifentanil, have active metabolites that can result in an enhanced effect with impaired excretion or prolonged use.
The effect of remifentanil on the bispectral index change and hemodynamic responses after orotracheal intubation.
Philip, of Brigham and Women's Hospital, Harvard Medical School, found that non-invasive minute ventilation monitoring can be used to accurately monitor patients taking remifentanil, a synthetic opioid analgesic, without the need for intubation.
We compared the effectiveness of three anaesthetic regimens (propofol alone, propofol with remifentanil and sevoflurane alone), with respect to seizure duration and seizure quality in patients undergoing electroconvulsive therapy.
Although morphine and pethidine have both been used as analgesics in this setting, they have been largely replaced by shorter-acting opioids, particularly alfentanil (Rapifen) and remifentanil (Ultiva).
Under general anesthesia using propofol, remifentanil, and vecuronium intravenously, lung separation was achieved by placing a 35F left double-lumen endobronchial tube into the left mainstem bronchus.