134
Views
0
CrossRef citations to date
0
Altmetric
ORIGINAL RESEARCH

Remifentanil is Superior to Propofol for Treating Emergence Agitation in Adults After General Anesthesia

, ORCID Icon, , , &
Pages 341-350 | Received 09 Sep 2023, Accepted 25 Jan 2024, Published online: 06 Feb 2024

References

  • Tolly B, Waly A, Peterson G, et al. Adult emergence agitation: a veteran-focused narrative review. Anesth Analg. 2021;132(2):353–364. doi:10.1213/ANE.0000000000005211
  • Fields A, Huang J, Schroeder D, et al. Agitation in adults in the post-anaesthesia care unit after general anaesthesia. Br J Anaesth. 2018;121(5):1052–1058. doi:10.1016/j.bja.2018.07.017
  • Card E, Pandharipande P, Tomes C, et al. Emergence from general anaesthesia and evolution of delirium signs in the post-anaesthesia care unit. Br J Anaesth. 2015;115(3):411–417. doi:10.1093/bja/aeu442
  • Yu D, Chai W, Sun X, Yao L. Emergence agitation in adults: risk factors in 2000 patients. Can J Anaesth. 2010;57(9):843–848. doi:10.1007/s12630-010-9338-9
  • Lepousé C, Lautner CA, Liu L, et al. Emergence delirium in adults in the post-anaesthesia care unit. Br J Anaesth. 2006;96(6):747–753. doi:10.1093/bja/ael094
  • Wei B, Feng Y, Chen W, et al. Risk factors for emergence agitation in adults after general anesthesia: a systematic review and meta-analysis. Acta Anaesthesiol Scand. 2021;65(6):719–729. doi:10.1111/aas.13774
  • Aouad MT, Al-Alami AA, Nasr VG, et al. The effect of low-dose remifentanil on responses to the endotracheal tube during emergence from general anesthesia. Anesth Analg. 2009;108(4):1157–1160. doi:10.1213/ane.0b013e31819b03d8
  • Elsersy HE, Metyas MC, Elfeky HA, Hassan AA. Intraoperative magnesium sulphate decreases agitation and pain in patients undergoing functional endoscopic surgery: a randomised double-blind study. Eur J Anaesthesiol. 2017;34(10):658–664. doi:10.1097/EJA.0000000000000642
  • Kim SY, Kim JM, Lee JH, et al. Efficacy of intraoperative dexmedetomidine infusion on emergence agitation and quality of recovery after nasal surgery. Br J Anaesth. 2013;111(2):222–228. doi:10.1093/bja/aet056
  • Kim JA, Ahn HJ, Yang M, et al. Intraoperative use of dexmedetomidine for the prevention of emergence agitation and postoperative delirium in thoracic surgery: a randomized-controlled trial. Can J Anaesth. 2019;66(4):371–379. doi:10.1007/s12630-019-01299-7
  • Aouad MT, Zeeni C, Al Nawwar R, et al. Dexmedetomidine for improved quality of emergence from general anesthesia: a dose-finding study. Anesth Analg. 2019;129(6):1504–1511. doi:10.1213/ANE.0000000000002763
  • Jiao H, Wang H, Jiang Z, Hu J. Comparative efficacy of ancillary drugs in sevoflurane-related emergence agitation after paediatric adenotonsillectomy: a Bayesian network meta-analysis. J Clin Pharm Ther. 2020;45(5):1039–1049. doi:10.1111/jcpt.13133
  • Chen J, Li W, Hu X, Wang D. Emergence agitation after cataract surgery in children: a comparison of midazolam, propofol and ketamine. Paediatr Anaesth. 2010;20(9):873–879. doi:10.1111/j.1460-9592.2010.03375.x
  • He J, Zhang L, Tao T, et al. Nalbuphine reduces the incidence of emergence agitation in children undergoing Adenotonsillectomy: a prospective, randomized, double-blind, multicenter study. J Clin Anesth. 2023;85:111044. doi:10.1016/j.jclinane.2022.111044
  • An LJ, Zhang Y, Su Z, et al. A single dose of dezocine suppresses emergence agitation in preschool children anesthetized with sevoflurane-remifentanil. BMC Anesthesiol. 2017;17(1):154. doi:10.1186/s12871-017-0446-8
  • Kaçar CK, Uzundere O, Salık F, et al. Effects of adding a combined infraorbital and infratrochlear nerve block to general anaesthesia in septorhinoplasty. J Pain Res. 2020;13:2599–2607. doi:10.2147/JPR.S255720
  • Hatzakorzian R, Shan WL, Côté AV, et al. The management of severe emergence agitation using droperidol. Anaesthesia. 2006;61(11):1112–1115. doi:10.1111/j.1365-2044.2006.04791.x
  • Taylor DM, Yap CYL, Knott JC, et al. Midazolam-droperidol, droperidol, or olanzapine for acute agitation: a randomized clinical trial. Ann Emerg Med. 2017;69(3):318–326.e1. doi:10.1016/j.annemergmed.2016.07.033
  • O’Reardon JP, Takieddine N, Datto CJ, et al. Propofol for the management of emergence agitation after electroconvulsive therapy: review of a case series. J ECT. 2006;22(4):247–252. doi:10.1097/01.yct.0000235929.46903.67
  • Tzabazis A, Schmitt HJ, Ihmsen H, et al. Postictal agitation after electroconvulsive therapy: incidence, severity, and propofol as a treatment option. J ECT. 2013;29(3):189–195. doi:10.1097/YCT.0b013e3182887b5b
  • Read MD, Maani CV, Blackwell S. Dexmedetomidine as a rescue therapy for emergence delirium in adults: a case series. A a Case Rep. 2017;9(1):20–23. doi:10.1213/XAA.0000000000000510
  • Perkins J, Ho JD, Vilke GM, DeMers G. American Academy of emergency medicine position statement: safety of droperidol use in the emergency department. J Emerg Med. 2015;49(1):91–97. doi:10.1016/j.jemermed.2014.12.024
  • Cavaliere F, Antonelli M, Arcangeli A, et al. A low-dose remifentanil infusion is well tolerated for sedation in mechanically ventilated, critically-ill patients. Can J Anaesth. 2002;49(10):1088–1094. doi:10.1007/BF03017909
  • Rosen HD, Mervitz D, Cravero JP. Pediatric emergence delirium: Canadian Pediatric Anesthesiologists’ experience. Paediatr Anaesth. 2016;26(2):207–212. doi:10.1111/pan.12812
  • Urits I, Peck J, Giacomazzi S, et al. emergence delirium in perioperative pediatric care: a review of current evidence and new directions. Adv Ther. 2020;37(5):1897–1909. doi:10.1007/s12325-020-01317-x
  • Feng Z, Shi X, Yan X, et al. Comparing the effects of dexmedetomidine versus propofol on the treatment of emergence agitation in adult patients after general anesthesia: study protocol for a randomized, superiority, controlled trial (DP-TEA Trial). Trials. 2021;22(1):811. doi:10.1186/s13063-021-05743-2
  • Jiang S, Liu J, Li M, Ji W, Liang J. The efficacy of propofol on emergence agitation--a meta-analysis of randomized controlled trials. Acta Anaesthesiol Scand. 2015;59(10):1232–1245. doi:10.1111/aas.12586
  • Tan Y, Shi Y, Ding H, Kong X, Zhou H, Tian J. μ-Opioid agonists for preventing emergence agitation under sevoflurane anesthesia in children: a meta-analysis of randomized controlled trials. Paediatr Anaesth. 2016;26(2):139–150. doi:10.1111/pan.12815
  • Kim MS, Moon BE, Kim H, Lee JR. Comparison of propofol and fentanyl administered at the end of anaesthesia for prevention of emergence agitation after sevoflurane anaesthesia in children. Br J Anaesth. 2013;110(2):274–280. doi:10.1093/bja/aes382
  • Huett C, Baehner T, Erdfelder F, et al. Prevention and therapy of pediatric emergence delirium: a National Survey. Paediatr Drugs. 2017;19(2):147–153. doi:10.1007/s40272-017-0212-x
  • Lee SH, Lee SE, Chung S, et al. Impact of time interval between remifentanil and propofol on propofol injection pain. J Clin Anesth. 2016;34:510–515. doi:10.1016/j.jclinane.2016.06.029
  • Gelberg J, Jonmarker C, Stenqvist O, Werner O. Intravenous boluses of fentanyl, 1 μg kg⁻¹, and remifentanil, 0.5 μg kg⁻¹, give similar maximum ventilatory depression in awake volunteers. Br J Anaesth. 2012;108(6):1028–1034. doi:10.1093/bja/aes029
  • Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting [published correction appears in Anesth Analg. 2020 Nov;131(5):e241]. Anesth Analg. 2020;131(2):411–448. doi:10.1213/ANE.0000000000004833
  • Hozumi J, Egi M, Sugita S, Sato T. Dose of intraoperative remifentanil administration is independently associated with increase in the risk of postoperative nausea and vomiting in elective mastectomy under general anesthesia. J Clin Anesth. 2016;34:227–231. doi:10.1016/j.jclinane.2016.04.018
  • Watanabe T, Moriya K, Tsubokawa N, Baba H. Effect of remifentanil on postoperative nausea and vomiting: a randomized pilot study. J Anesth. 2018;32(5):781–785. doi:10.1007/s00540-018-2550-4
  • Massoth C, Schwellenbach J, Saadat-Gilani K, et al. Impact of opioid-free anaesthesia on postoperative nausea, vomiting and pain after gynaecological laparoscopy - A randomised controlled trial. J Clin Anesth. 2021;75:110437. doi:10.1016/j.jclinane.2021.110437
  • Lee S, Sohn JY, Hwang IE, et al. Effect of a repeated verbal reminder of orientation on emergence agitation after general anaesthesia for minimally invasive abdominal surgery: a randomised controlled trial. Br J Anaesth. 2023;130(4):439–445. doi:10.1016/j.bja.2022.12.009