@Article{Misiołek2010,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="7",
number="1",
year="2010",
title="ANESTEZJOLOGIA I INTENSYWNA TERAPIAGeneral anaesthesia with remifentanil or fentanyl for elderly patients during thoracoscopic procedures",
abstract=" Background:  Non-invasive procedures including thoracoscopies cause less operative trauma and stress and in the postoperative period fewer pain ailments, which results in a shorter hospitalization period and decrease of treatment costs. The operative technique that requires one lung ventilation and lateral decubitus position leads to a series of ventilatory and cardiovascular disturbances. The anaesthesia risk is elevated, especially in elderly patients.    Aim:   To determine whether the use of opioids with different duration of action (remifentanil or fentanyl) influences the cardi-ovascular system response to one lung ventilation in elderly patients.   Material and methods:   The study had a prospective and randomized design. In the test group I (n = 19) for the analgesia remifentanil 0.5 \µg kg-1 (bolus) and then continuous infusion of 0.05-0.1 \µg kg-1 was used. In the control group II (n = 21) for the analgesia fentanyl in standard doses was used. For direct blood pressure and cardiac output monitoring a special artery sensor (FloTrac) was used. The values of the following parameters were specified: HR, SBP, DBP, MBP, SV, CI, SVR.    Results:   The values of haemodynamic parameters measured during the study were comparable in both groups.    Conclusion:   The use of different action time opioids does not influence the cardiovascular system reaction during one lung ventilation in elderly patients.",
author="Misiołek, Hanna
and Budziński, Dariusz
and Przybyła, Maciej
and Wojtacha, Anna
and Filipowski, Marek
and Karpe, Jacek",
pages="47--53",
url="https://www.termedia.pl/ANESTEZJOLOGIA-I-INTENSYWNA-TERAPIA-General-anaesthesia-with-remifentanil-or-fentanyl-for-elderly-patients-during-thoracoscopic-procedures,40,14417,1,1.html"
}