Remifentanil-induced strong contraction of colon during colonoscopy

The mechanism underlying this more rapid propagation of circular and longitudinal contractions across successive domains may include facilitation by interstitial cells of Cajal associated mechanoreceptors [3]. [...]strong contractions in both the circular and longitudinal muscle layers of distal ile...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-09, Vol.56, p.138-139
Main Authors: Wu, Ke-Li, Wu, Tsai-Shan, Wu, Zhi-Fu, Lai, Hou-Chuan
Format: Article
Language:English
Subjects:
Analgesics, Opioid - adverse effects
Anesthesia
Colon
Colon - drug effects
Colonoscopy
Colonoscopy - adverse effects
Female
Humans
Middle Aged
Muscle Contraction - drug effects
Muscle, Smooth - drug effects
Pain, Procedural - etiology
Pain, Procedural - prevention & control
Remifentanil - adverse effects
Smooth muscle
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Summary:The mechanism underlying this more rapid propagation of circular and longitudinal contractions across successive domains may include facilitation by interstitial cells of Cajal associated mechanoreceptors [3]. [...]strong contractions in both the circular and longitudinal muscle layers of distal ileum in the anesthetized pig commenced shortly after the intravenous administration of remifentanil [1]. [...]the colon returned to normal contractions [3]. [...]anesthesiologist should keep in mind that strong contraction of colon during colonoscopy resulting in difficult examination might occur and we need to figure out, it is due to drugs or colonoscopy itself.Authors' contributions Study design: ZF Wu, HC Lai.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2019.02.013