Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report

A patient taking opioid maintenance therapy unintentionally injected dissolved zolpidem pills into the femoral artery and suffered acute limb ischemia. High amounts of opioids with supplemental therapies were inefficient for intractable ischemic pain, suggesting the presence of opioid‐induced hypera...

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Detalles Bibliográficos
Autores principales: Krajina Kmoniček, Irena, Kvolik, Slavica, Pinotić, Kresimir, Ištvanić, Tomislav, Mraovic, Boris, Marjanovic, Ksenija
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752646/
https://www.ncbi.nlm.nih.gov/pubmed/33363949
http://dx.doi.org/10.1002/ccr3.3445
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author Krajina Kmoniček, Irena
Kvolik, Slavica
Pinotić, Kresimir
Ištvanić, Tomislav
Mraovic, Boris
Marjanovic, Ksenija
author_facet Krajina Kmoniček, Irena
Kvolik, Slavica
Pinotić, Kresimir
Ištvanić, Tomislav
Mraovic, Boris
Marjanovic, Ksenija
author_sort Krajina Kmoniček, Irena
collection PubMed
description A patient taking opioid maintenance therapy unintentionally injected dissolved zolpidem pills into the femoral artery and suffered acute limb ischemia. High amounts of opioids with supplemental therapies were inefficient for intractable ischemic pain, suggesting the presence of opioid‐induced hyperalgesia (OIH). Epidural analgesia efficiently relieved pain and symptoms of OIH.
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spelling pubmed-77526462020-12-23 Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report Krajina Kmoniček, Irena Kvolik, Slavica Pinotić, Kresimir Ištvanić, Tomislav Mraovic, Boris Marjanovic, Ksenija Clin Case Rep Case Reports A patient taking opioid maintenance therapy unintentionally injected dissolved zolpidem pills into the femoral artery and suffered acute limb ischemia. High amounts of opioids with supplemental therapies were inefficient for intractable ischemic pain, suggesting the presence of opioid‐induced hyperalgesia (OIH). Epidural analgesia efficiently relieved pain and symptoms of OIH. John Wiley and Sons Inc. 2020-10-27 /pmc/articles/PMC7752646/ /pubmed/33363949 http://dx.doi.org/10.1002/ccr3.3445 Text en © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Krajina Kmoniček, Irena
Kvolik, Slavica
Pinotić, Kresimir
Ištvanić, Tomislav
Mraovic, Boris
Marjanovic, Ksenija
Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title_full Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title_fullStr Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title_full_unstemmed Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title_short Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
title_sort epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752646/
https://www.ncbi.nlm.nih.gov/pubmed/33363949
http://dx.doi.org/10.1002/ccr3.3445
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