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

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

Abstract 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‐induc...

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Bibliographic Details
Main Authors: Irena Krajina Kmoniček, Slavica Kvolik, Kresimir Pinotić, Tomislav Ištvanić, Boris Mraovic, Ksenija Marjanovic
Format: Article
Language:English
Published: Wiley 2020-12-01
Series:Clinical Case Reports
Subjects:
acute medicine
anesthesia
pharmacology
vascular surgery
Online Access:https://doi.org/10.1002/ccr3.3445
Description
Summary:Abstract 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.
ISSN:2050-0904

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