Journal of clinical anesthesia
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Review Comparative Study
Recovery advantages of regional anesthesia compared with general anesthesia: adult patients.
The data support but do not conclusively prove, that RA results in a superior recovery compared with GA. However, several questions need to be answered. ⋯ Anesthetic techniques need to be carefully compared to determine whether they are equal in quality, efficiency, and cost. Finally, to determine whether RA is cost-effective, future studies involving ambulatory patients with a focus on outcome and well-being need to be conducted.
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The PACU is a dynamic environment where children undergo significant physiologic changes. Their safe care is dependent on the concerted, prospective efforts of the medical and nursing staff. This can best be done when the staff is well trained in the care of children and the unit is sufficiently equipped. Attention and leadership from anesthesiologists can ensure ongoing quality care for children.
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Remifentanil appears to have pharmacodynamic properties similar to other potent mu opioid agonists. It does, however, have unique pharmacokinetic properties, with a rapid onset and rapid offset of effect, irrespective of the duration of its administration. With this property, remifentanil appears to be a very titratable opioid that will make it suitable for administration for either very brief periods, in which analgesia is required, or over prolonged periods, without the concern for prolonged recovery.