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J Anesth. 1998 Dec;12(4):195-204. doi: 10.1007/BF02481730.

The clinical pharmacology of remifentanil: a brief review.

Journal of anesthesia

Talmage D Egan

Affiliations

  1. Department of Anesthesiology, University Health Sciences Center, 50 North Medical Dr., 84132, Salt Lake City, UT, USA.

PMID: 28921316 DOI: 10.1007/BF02481730

Abstract

Because it is still in its clinical infancy, it is difficult to predict with confidence exactly what role remifentanil will ultimately play in the delivery of anesthesia (and in other settings). It is clear, however, that remifentanil is a new pharmacologic tool with exciting potential that was not possible with the longer-acting opioids. On the basis of its familiar, fentanyl-like pharmacodynamic behavior and its short-acting pharmacokinetic profile, remifentanil may well be advantageous in a variety of settings in which profound opioid effect with subsequent rapid return of spontaneous ventilation and consciousness is desirable. Ongoing research and wide-spread clinical use will be required before the theoretical advantages associated with a short-acting opioid can be fully explored and confirmed.

Keywords: Pharmacodynamics; Pharmacokinetics; Remifentanil

References

  1. Anesthesiology. 1996 Apr;84(4):812-20 - PubMed
  2. Anaesthesia. 1997 Apr;52(4):307-17 - PubMed
  3. Anesthesiology. 1997 Oct;87(4):1019-20 - PubMed
  4. Anesthesiology. 1997 Sep;87(3):533-41 - PubMed
  5. J Neurosurg Anesthesiol. 1998 Jan;10(1):25-9 - PubMed
  6. Anesthesiology. 1996 Apr;84(4):865-72 - PubMed
  7. Anesthesiology. 1996 Oct;85(4):721-8 - PubMed
  8. Anesth Analg. 1993 Nov;77(5):1031-40 - PubMed
  9. J Pharmacol Exp Ther. 1995 Jul;274(1):34-9 - PubMed
  10. Anaesthesia. 1998 Mar;53(3):308 - PubMed
  11. Drug Metab Dispos. 1996 Jan;24(1):34-40 - PubMed
  12. J Pharm Biomed Anal. 1994 Feb;12(2):195-203 - PubMed
  13. Anesthesiology. 1992 Mar;76(3):334-41 - PubMed
  14. Nutr Rev. 1991 Jun;49(6):163-75 - PubMed
  15. Anesthesiology. 1997 Mar;86(3):514-24 - PubMed
  16. Br J Anaesth. 1997 Oct;79(4):456-9 - PubMed
  17. Anesthesiology. 1993 Nov;79(5):875-6 - PubMed
  18. Anesthesiology. 1998 Jun;88(6):1467-74 - PubMed
  19. Anesthesiology. 1997 Jan;86(1):10-23 - PubMed
  20. Anesthesiology. 1996 Apr;84(4):821-33 - PubMed
  21. Anesthesiology. 1997 Jan;86(1):24-33 - PubMed
  22. Int J Obstet Anesth. 1998 Apr;7(2):124-7 - PubMed
  23. Anesthesiology. 1997 Dec;87(6):1549-62 - PubMed
  24. J Pharm Biomed Anal. 1994 Feb;12(2):243-8 - PubMed
  25. Eur J Anaesthesiol. 1997 Jul;14(4):374-9 - PubMed
  26. Anesthesiology. 1996 Jan;84(1):94-102 - PubMed
  27. Anesth Analg. 1993 May;76(5):1033-9 - PubMed
  28. J Pharm Biomed Anal. 1996 Sep;14(12):1727-32 - PubMed
  29. Anesthesiology. 1991 Jan;74(1):53-63 - PubMed
  30. Mol Pharmacol. 1989 Jul;36(1):97-105 - PubMed
  31. J Pharmacol Exp Ther. 1991 Nov;259(2):712-8 - PubMed
  32. Anesth Analg. 1995 May;80(5):990-3 - PubMed
  33. Anesthesiology. 1997 Aug;87(2):253-9 - PubMed
  34. Anesth Analg. 1996 Aug;83(2):348-53 - PubMed
  35. Clin Pharmacokinet. 1995 Aug;29(2):80-94 - PubMed
  36. Anesthesiology. 1996 Apr;84(4):926-35 - PubMed
  37. Anesthesiology. 1996 Dec;85(6):1283-9 - PubMed
  38. Anesthesiology. 1993 Jul;79(1):107-13; discussion 26A - PubMed
  39. Paediatr Anaesth. 1996;6(6):433-5 - PubMed
  40. Anesth Analg. 1997 May;84(5):982-9 - PubMed
  41. Anesthesiology. 1997 Jul;87(1):51-7 - PubMed
  42. Anesth Analg. 1998 Jan;86(1):45-9 - PubMed
  43. Anesth Analg. 1997 Nov;85(5):1014-9 - PubMed
  44. J Clin Anesth. 1997 Nov;9(7):532-41 - PubMed
  45. Anesthesiology. 1993 Nov;79(5):881-92 - PubMed
  46. Anesth Analg. 1978 Jan-Feb;57(1):31-6 - PubMed
  47. Anesthesiology. 1995 Nov;83(5):968-75 - PubMed
  48. J Clin Anesth. 1995 Nov;7(7):558-63 - PubMed
  49. J Pharmacol Exp Ther. 1992 Oct;263(1):84-91 - PubMed
  50. Anesth Analg. 1996 Dec;83(6):1292-7 - PubMed
  51. J Pharm Sci. 1997 Nov;86(11):1278-82 - PubMed
  52. Reg Anesth Pain Med. 1998 Jan-Feb;23(1):64-70 - PubMed
  53. Anesthesiology. 1997 Jul;87(1):36-50 - PubMed
  54. Anesthesiology. 1993 Nov;79(5):893-903 - PubMed
  55. Anesth Analg. 1997 Apr;84(4):740-4 - PubMed
  56. J Med Chem. 1991 Jul;34(7):2202-8 - PubMed

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