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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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
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spelling doaj-07349b808e4142e7b46db6524066b3af2021-08-02T06:23:39ZengWileyClinical Case Reports2050-09042020-12-018123444344810.1002/ccr3.3445Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case reportIrena Krajina Kmoniček0Slavica Kvolik1Kresimir Pinotić2Tomislav Ištvanić3Boris Mraovic4Ksenija Marjanovic5Department of Anesthesiology Osijek University Hospital Osijek CroatiaDepartment of Anesthesiology Osijek University Hospital Osijek CroatiaFaculty of Medicine Josip Juraj Strossmayer University of Osijek Osijek CroatiaFaculty of Medicine Josip Juraj Strossmayer University of Osijek Osijek CroatiaDepartment of Anesthesiology & Perioperative Medicine School of Medicine University of Missouri Columbia MO USAFaculty of Medicine Josip Juraj Strossmayer University of Osijek Osijek CroatiaAbstract 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.https://doi.org/10.1002/ccr3.3445acute medicineanesthesiapharmacologyvascular surgery
collection DOAJ
language English
format Article
sources DOAJ
author Irena Krajina Kmoniček
Slavica Kvolik
Kresimir Pinotić
Tomislav Ištvanić
Boris Mraovic
Ksenija Marjanovic
spellingShingle Irena Krajina Kmoniček
Slavica Kvolik
Kresimir Pinotić
Tomislav Ištvanić
Boris Mraovic
Ksenija Marjanovic
Epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
Clinical Case Reports
acute medicine
anesthesia
pharmacology
vascular surgery
author_facet Irena Krajina Kmoniček
Slavica Kvolik
Kresimir Pinotić
Tomislav Ištvanić
Boris Mraovic
Ksenija Marjanovic
author_sort Irena Krajina Kmoniček
title 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_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_sort epidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—a case report
publisher Wiley
series Clinical Case Reports
issn 2050-0904
publishDate 2020-12-01
description 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.
topic acute medicine
anesthesia
pharmacology
vascular surgery
url https://doi.org/10.1002/ccr3.3445
work_keys_str_mv AT irenakrajinakmonicek epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
AT slavicakvolik epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
AT kresimirpinotic epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
AT tomislavistvanic epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
AT borismraovic epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
AT ksenijamarjanovic epiduralanalgesiaforacuteischemicpainafterintraarterialzolpideminjectioninopioidaddictedpatientacasereport
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