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View Full Version : Remifent ONLY anesthesia technique


MmacFN
03-03-2007, 11:16 AM
Ok


So i was talking to an anesthesiologist yesterday (a friend of mine) who has a really interesting idea which seems to be working.

He has been using remi only for induction when he does not want or cannot use a sedative for induction. He has tried this multiple times now and it has worked well where patients seem to have no problems with the "awake intubation". Hes anti-paralytics whenever possible.

He also has done whole procedures with remi drips which keep the patient so narcotized that they dont move and stay relaxed.


What does everyone think of that idea?
darienblythe79
03-03-2007, 01:23 PM
Certainly possible, but what is his incidence of recall and awareness? High dose opioid anesthesia isn't reliable in that aspect.
MmacFN
03-03-2007, 01:27 PM
Thast what i asked.

He said that in his experience, people didnt care what they remembered when they were narcotized. Now, thats certainly true from my experience at parties.... hehehe.. But im not so sure its OK for anesthesia.

He is doing research on it now.
darienblythe79
03-03-2007, 02:06 PM
:faint: I might care about what I remember.
Catcolalex
03-05-2007, 09:31 PM
I have mixed remi in with my stick of propofol and tubed people 15 seconds later with no bucking, and no tachycardia. wears off quickly, great for rapid sequience, no paralytics etc.
NursePink
03-06-2007, 02:42 PM
Sounds great. My biggest hesitance with using Remi for those purposes is the cost. I do love it for cranis & extensive back cases though.
athomas91
03-08-2007, 01:41 PM
only one place i worked had remi - we used it w/ propofol for TIVA - i personally wouldn't use it alone - it is expensive and you would use much more than you would when mixed with something such as propofol

i have used alfenta for intubation - great - relaxes cords - wears off fast - no need for paralytics...
andrea
skipaway
03-09-2007, 06:30 PM
My question is why would you want to do it? What's his reasoning, what's the benefit to the patient? Is he lazy? Does he only want to have to remember 1 drug? I wish that someone would do this to him when he needs anesthesia, then maybe he'd see how stupid it is.