We report a case of delayed respiratory depression due to accidental subcutaneous opioid infusion. A healthy 33-year-old woman underwent orthopedic surgery under general anesthesia. Before the end of the operation, it was noticed that a part of the opioid infusion had been administered subcutaneously. About 15 min after tracheal extubation, the patient developed respiratory depression and loss of consciousness. The patient recovered with the use of jaw lift together with bag-valve-mask ventilation. We believe that accidental subcutaneous opioid accumulation may have caused the respiratory depression.
机构:
Hofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USAHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
Overdyk, Frank
Dahan, Albert
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机构:
Leiden Univ, Med Ctr, Dept Anesthesiol, Leiden, NetherlandsHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
Dahan, Albert
Roozekrans, Margot
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机构:
Leiden Univ, Med Ctr, Dept Anesthesiol, Leiden, NetherlandsHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
Roozekrans, Margot
van der Schrier, Rutger
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Leiden Univ, Med Ctr, Dept Anesthesiol, Leiden, NetherlandsHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
van der Schrier, Rutger
Aarts, Leon
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Leiden Univ, Med Ctr, Dept Anesthesiol, Leiden, NetherlandsHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
Aarts, Leon
Niesters, Marieke
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机构:
Leiden Univ, Med Ctr, Dept Anesthesiol, Leiden, NetherlandsHofstra North Shore LIJ Sch Med, Dept Anesthesiol, Hempstead, NY 11549 USA
机构:
CHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, France
Bourgeade, F.
Payen, M.
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机构:
CHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, France
Payen, M.
Daigremont, C.
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CHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, France
Daigremont, C.
Malinovsky, J. -M.
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机构:
CHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Serv Anesthesie Reanimat, F-51092 Reims, France
Malinovsky, J. -M.
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION,
2009,
28
(10):
: 903
-
904