To help manage intraoperative hemodynamics and pain1
Provides quick emergence for neurological assessment1,3
- Helps facilitate monitoring of SSEPs and MEPs3,5
Added characteristics of ULTIVA
- Effective analgesia with less suppressive effects on MEPs than fentanyl, alfentanil, sufentanil, propofol, and thiopental1,5
Rapid response to dose adjustment for rapid transition to a wake-up test1,2
- Rapid recovery after discontinuation with no accumulation regardless of infusion duration1
- Well-established hemodynamic profile1
Spinal fusion case study
5'7'', 74 kg (163 lb)
BMI 25.6 kg/m2
History of intraoperative awareness
History of severe postoperative nausea and vomiting (PONV) with morphine
This case study is for illustrative and educational purposes only. The dosing regimen is specific to this case study and other regimens may vary depending on patient and procedure. Any use of this product is subject to the judgment of the practitioner in each case. Please consult the full Prescribing Information in the use of this product.
- ULTIVA [package insert]. Rockford, IL: Mylan Institutional LLC; 2016.
- Imani F, Jafarian A, Hassani V, Khan ZH. Propofol-alfentanil vs propofol-remifentanil for posterior spinal fusion including wake-up test. Br J Anaesth. 2006;96(5):583-586.
- Samra SK, Dy EA, Welch KB, Lovely LK, Graziano GP. Remifentanil- and fentanyl-based anesthesia for intraoperative monitoring of somatosensory evoked potentials. Anesth Analg. 2001;92(6):1510-1515.
- Grottke O, Dietrich PJ, Wiegels S, Wappler F. Intraoperative wake-up test and postoperative emergence in patients undergoing spinal surgery: a comparison of intravenous and inhaled anesthetic techniques using short-acting anesthetics. Anesth Analg. 2004;99(5):1521-1527.
- Scheufler KM, Zentner J. Total intravenous anesthesia for intraoperative monitoring of the motor pathways: an integral view combining clinical and experimental data. J Neurosurg. 2002;96(3):571-579.
- Guy J, Hindman BJ, Baker KZ, et al. Comparison of remifentanil and fentanyl in patients undergoing craniotomy for supratentorial space-occupying lesions. Anesthesiology. 1997;86(3):514-524.