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The use of remifentanil during general anesthesia for caesarean section
1Department of Cardiovascular Sciences, Department of Anesthesiology, UZ Leuven, KU Leuven, Leuven, Belgium.
Purpose Of Review:
The purpose is to review the neonatal and maternal effects of remifentanil given at induction of general anesthesia for caesarean section and prior to delivery of the baby.
Main Findings:
Remifentanil seems to have short-lived respiratory depressant effects in approximately 50% of neonates, requiring short periods of mask ventilation or tactile stimulation of the neonate. Remifentanil produces excellent maternal hemodynamic stability avoiding tachycardia and hypertension, possibly reducing the risk of maternal awareness.
Summary:
Remifentanil can be safely used at induction of general anesthesia provided healthcare workers are available to manage short-lived neonatal depression.
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