Propofol target-controlled intravenous remifentanil anesthesia for cholecystectomy clinical observation

Objective To evaluate the hemodynamics during induction of anesthesia and recovery profiles following target-controled infusion-based anesthesia using remifentanil and propofol.Methods ASA Ⅰ and Ⅱ elective gallbladder surgery patients in 40 cases were randomly divided into remifentanil(R)group and fentanyl(F)group.Group R were induced and maintained with remifentanil and propofol,while group F with fentanyl and propofol.Hemadynamics changing during the induction and maintenance phase,spontaneous breath recovery time,awake time,time of endotracheal tube extubation and side-effect were investigated and compared.Results Remifentanil anesthesia resulted in less circulatory disturbance,faster recovery and less post-operative complications.Conclusion Compared with fentanyl,remifentanil can be used more safely and effectively in cholecy stectomy.