Comparison of Remifentanil and Alfentanil for Analgosedation during Colonoscopy

Czech version

Authors: M. Svítek; J. Bohumínská
Authors‘ workplace: KAR, 1. LF UK a VFN, Praha, přednosta doc. MUDr. Zdeněk Ehler, CSc.
Published in: Anest. intenziv. Med., , 2001, č. 3, s. 112-116
Category:

Overview

Endoscopic procedures in the gastrointestinal tract represent an unpleasant and painful experience for a patient. Analgosedation allows foralleviation from dyscomfort associated with the procedure; the procedure can be performed easier and faster. Combination of midazolam withremifentanil or alfentanil, respectively, provided analgosedation deep enough for colonoscopy. This combination of drugs was associated with theleast adverse effects. Recovery was faster in the group with remifentanil; the next hour, the results were comparable in both groups. Patients weredischarged four hours after completion of the procedure. Combination of midazolam and remifentanil was also cheaper.

Key words:
ambulatory anaesthesia - benzodiazepines - opiates - recovery - complications

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