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Purpose: The aim of this study was to investigate the effects of end-tidal carbon dioxide tension (ETCO) changes during remifentanil infusion on mandibular bone marrow tissue blood flow (BBF), masseter muscle tissue blood flow (MBF), mandibular bone marrow tissue oxygen tension (PbO) and masseter muscle tissue oxygen tension (PmO) in rabbits.
Methods: Ten male tracheotomized Japan White rabbits were anesthetized and ventilated with sevoflurane. ETCO was adjusted to 30 mmHg. After baseline measurement, CO was added to the inhaled air, and ETCO was increased to 40 and 60 mmHg. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), BBF, MBF, PbO, and PmO were recorded with and without remifentanil infusion at 0.4 µg/kg/min.
Results: Two-way repeated measures analysis of variance showed no interaction between ETCO and remifentanil in all variables. Remifentanil infusion produced decreases in HR, SBP, MAP, BBF and MBF compared with those without remifentanil infusion, while it did not affect DBP, PbO and PmO. Elevation of ETCO from 30 to 60 mmHg produced decreases in HR and MBF, and increases in SBP, DBP, MAP and BBF, while it did not affect PbO and PmO.
Conclusion: PbO and PmO remained unchanged despite changes in BBF and MBF during ETCO change with or without remifentanil infusion.
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http://dx.doi.org/10.1007/s00540-021-03006-7 | DOI Listing |
Br J Anaesth
September 2025
Department of Anaesthesiology, Gregorio Marañón University Hospital, Madrid, Spain; Biomedical Research Institute, Gregorio Marañón University Hospital, Madrid, Spain; Department of Pharmacology and Toxicology, Faculty of Medicine, Complutense University, Madrid, Spain.
Background: The potential for the anti-inflammatory effects of lidocaine to reduce complications after lung resection has not been evaluated. We assessed whether intraoperative i.v.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Department of Anesthesiology, National Hospital Organization Higashi Hiroshima Medical Center, Higashihiroshima, Hiroshima Prefecture, Japan.
Charcot-Marie-Tooth (CMT) disease is a progressive hereditary neuropathy that complicates anaesthesia because of neuromuscular-blocker sensitivity. Remimazolam, an ultra-short-acting benzodiazepine, has not yet been reported in CMT. We anaesthetised a woman in her 70s with CMT type 1A and cardiac sarcoidosis for femoral nail fixation under total intravenous anaesthesia with remimazolam and remifentanil.
View Article and Find Full Text PDFIndian J Anaesth
September 2025
Department of Anaesthesia, Affiliated Hospital of Xuzhou Medical University, China.
Background And Aims: As gynaecological laparoscopic minimally invasive surgery continues to advance, it becomes essential to explore how inhalation anaesthesia and intravenous anaesthesia affect the recovery of gastrointestinal function after surgery. The objective was to compare the effects of total intravenous anaesthesia (TIVA) and inhalation anaesthesia on the time of the first defecation and the time of consuming solid food for patients following laparoscopic total hysterectomy.
Methods: This research involved 134 female participants aged 18-65 years, classified as American Society of Anesthesiologists physical status I-II, who were scheduled to undergo elective laparoscopic hysterectomy procedures.
J Anesth Analg Crit Care
August 2025
Department of Anesthesiology, Yas Clinic Khalifa City/Abu Dhabi Stem Cells Center, Abu Dhabi, United Arab Emirates.
Background: Spinal cord stimulation is a validated approach for managing chronic pain syndromes. The stimulator placement typically requires sedation, and an awake phase is needed to ensure optimal lead positioning. We describe a novel multimodal sedation approach using target-controlled infusions of propofol, remifentanil, and dexmedetomidine, combined with boluses of ketamine, guided by electroencephalography and nociception-antinociception balance monitoring.
View Article and Find Full Text PDFAutomated control of personalized multiple anesthetics in clinical Total Intravenous Anesthesia (TIVA) is crucial yet challenging. Current systems, including target-controlled infusion (TCI) and closedloop systems, either rely on relatively static pharmacokinetic/pharmacodynamic (PK/PD) models or focus on single anesthetic control. So they limit both personalization and collaborative control.
View Article and Find Full Text PDF