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desflurane + remifentanil (Bakırköy Dr. Sadi Konuk Research and Training Hospital)
- Development stage
- Unknown
- Lead developer
- Bakırköy Dr. Sadi Konuk Research and Training Hospital
- Modality
- Small Molecules
- Administration
- Inhalation, Intravenous
01
Overview
Desflurane + remifentanil is a combination anesthetic regimen utilized for the maintenance of general anesthesia. Desflurane is a volatile, inhalational methyl ethyl ether anesthetic that acts as a positive allosteric modulator of GABA-A and glycine receptors and an antagonist of NMDA receptors, primarily providing hypnosis and muscle relaxation. Remifentanil is a potent, ultra-short-acting synthetic mu-opioid receptor agonist that provides intense intraoperative analgesia. This specific combination is frequently used in clinical research, such as the trial conducted by Bakirkoy Dr. Sadi Konuk Research and Training Hospital, as a standard-of-care comparator for evaluating alternative maintenance strategies like dexmedetomidine. The regimen is characterized by rapid onset and offset of action, allowing for precise control of anesthetic depth and fast postoperative recovery.
- Brand names
- SupraneUltiva
- Other names
- desflurane and remifentanil
02
Targets
GABRR (GABA-A receptor subunit rho)Glycine receptorNMDAR (Glutamate receptor ionotropic, NMDA)MOR (Mu opioid receptor)
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