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Opioids can be used for medical and non-medical purposes. Chronic pain such as cancer, as well as the frequent use of such drugs in places such as operating rooms and intensive care units, and in non-medical areas like drug abuse the effects and side effects of these drugs need to be examined in more detail. For this purpose, the effects of fentanyl and remifentanil drugs on neuroinflammation, oxidative stress and cholinesterase metabolism were investigated. Neuron cells (CRL-10742) were used for the evaluation of the toxicity of fentanyl and remifentanil. MTT, PON1 activity and total thiol levels for its effect on oxidative stress, AChE and BChE activities for its effect on the cholinergic system, and TNF, IL-8 and IL-10 gene levels for its neuroinflammation effect were determined. The highest neurotoxic dose of fentanyl and remifentanil was determined as 10 μg/mL. It was observed that the rate of neuron cells in this dose has decreased by up to 61.80% and 56.89%, respectively. The IL-8 gene expression level in both opioids was down-regulated while IL 10 gene level was up-regulated in a dose-dependent manner compared to the control. In our results, the TNF gene expression level differs between the two opioids. In the fentanyl group, it was seen to be up-regulated in a dose-dependent manner compared to the control. Fentanyl and remifentanil showed an inhibitory effect against PON1, while remifentanil showed an increase in total thiol levels. PON1, BChE and total thiol activities showed similarity with MTT.
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http://dx.doi.org/10.1111/jcmm.18118 | DOI Listing |
Few reports exist in dentistry about the use of general anesthesia in children after liver transplant. In this paper, we report our experience utilizing general anesthesia for oral surgery in a 9-year-old girl who had undergone living donor liver transplantation. She was diagnosed with hepatoblastoma at 4 months of age and underwent a living donor liver transplant at 7 months of age.
View Article and Find Full Text PDFSci Adv
September 2025
Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP3), National Observations and Research Station for Wetland Ecosystems of the Yangtze Estuary, Department of Environmental Science & Engineering, Fudan University, Shanghai 200443, China.
Fentanyl and its analogs are a global concern, making their accurate identification essential for public health. Here, we introduce Fentanyl-Hunter, a screening platform that uses a machine learning classifier and multilayer molecular network to select and annotate fentanyl compounds using mass spectrometry (MS). Our classification model, based on 772 fentanyl spectra and spectral binning feature engineering, achieved an score of 0.
View Article and Find Full Text PDFAnticancer Res
September 2025
Department of Anaesthesiology, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Background/aim: The perioperative period may influence immune function in cancer patients, with anesthetic agents potentially contributing to immunosuppression. This study evaluated the differential impact of fentanyl and remifentanil on immune cell populations in breast cancer (BCa) patients undergoing surgery.
Patients And Methods: Thirty patients with histologically confirmed BCa who were treated with modified radical mastectomy or breast-conserving surgery followed by radiotherapy were included in the study.
Front Pediatr
August 2025
Department of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Objective: To evaluate the effect of ultrasound-guided bilateral serratus anterior plane block (SAPB) in selected pediatric patients undergoing pectus bar removal, focusing on those with anticipated higher pain sensitivity or risk of opioid-related complications.
Methods: A retrospective analysis was conducted on pediatric patients aged 6-17 years who underwent elective pectus bar removal under general anesthesia between September 2024 and February 2025. Patients were categorized into two groups: those receiving ultrasound-guided bilateral SAPB (Group S, = 30) based on clinical factors such as pain sensitivity or risk of opioid-related complications, and a control group without SAPB (Group C, = 46).
Aesthetic Plast Surg
August 2025
Department of Anesthesiology and Reanimation, Faculty of Medicine, Çukurova University, Adana, Turkey.
Background: Pectointercostal Fascial Plane Block (PIFB) targets the anterior cutaneous branches of the intercostal nerves and provides analgesia to the anteromedial chest wall. In this study, we aimed to evaluate the effect of PIFB in addition to Serratus Anterior Plane Block (SAPB) on postoperative morphine consumption and pain scores in breast reduction surgery.
Materials And Methods: Sixty-four ASA I-II patients (≥18 years) were randomly assigned to two groups.