Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942004000100016
Brazilian Journal of Anesthesiology
Review Article

Remifentanil na prática clínica

Remifentanil in the clinical practice

Rogério Luiz da Rocha Videira; José Roquennedy Souza Cruz

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Resumo

JUSTIFICATIVA E OBJETIVOS: O remifentanil é o opióide mais recentemente introduzido na prática anestésica. O objetivo desse estudo foi rever a literatura, com ênfase na informação de interesse clínico publicada no período de janeiro de 2000 a dezembro de 2002. CONTEÚDO: Os principais estudos sobre remifentanil são descritos e agrupados por áreas de interesse para a anestesia clínica. Aspectos como dose recomendada, equipamento e forma de uso, analgesia de transição e áreas em que o uso ainda é controverso, como para sedação, cirurgia pediátrica, obstétrica e terapia intensiva, são discutidos. CONCLUSÕES: O remifentanil é atualmente o opióide mais adequado para administração por infusão venosa contínua e pode tornar mais eficiente a prática clínica do anestesiologista ao serem seguidas as recomendações para o seu uso.

Palavras-chave

ANALGÉSICOS, Opióides

Abstract

JUSTIFICATIVA Y OBJETIVOS: El remifentanil es el opioide más recientemente introducido en la práctica anestésica. El objetivo de ese estudio fue rever la literatura, con énfasis en la información de interés clínico publicada en el período de enero de 2000 a diciembre de 2002. CONTENIDO: Los principales estudios sobre remifentanil son descritos y agrupados por áreas de interés para la anestesia clínica. Aspectos como dosis recomendada, equipamiento y forma de uso, analgesia de transición y áreas en que el uso aún es controvertido, como para sedación, cirugía pediátrica, obstétrica y terapia intensiva, son discutidos. CONCLUSIONES: El remifentanil es actualmente el opioide más adecuado para la administración por infusión venosa continua y puede hacer más eficiente la práctica clínica del anestesista a partir del momento en que sean seguidas las recomendaciones para su uso.

Keywords

ANALGESICS, Opioids: remifentanil

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