Prolonged apnea after remifentanil

Nelson, Reed Y.; Bretz, Brad; Egan, Talmage D.

doi:10.1016/j.jclinane.2006.05.024

Cited by 11 publications

(2 citation statements)

References 16 publications

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“…Literatürde remifentanil kullanımına bağlı naloksanla geri döndürülebilen uzamış apne olgusu da yayınlamıştır. (5) Biz hastamıza naloksan vermemize karşın durumunda kısa dönemde bir düzelme saptamadık. Naloksanın tekrarından hemodinamik yan etkileri nedeniyle kaçındık.…”

Section: Discussionunclassified

Delayed awakening from anesthesia

Utku¹,

Tunalı²,

Akçıl³

et al. 2012

J Turk Anaesth Int Care

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ÖZETYirmi dokuz yasında erkek hastaya genel anestezi altında sol kol çoklu tendon transferi uygulanmış ve postoperatif analjezi amacıyla interskalen blok yapılmıştır. Hasta anesteziden geç uyanmıştır. Bu sunuda, anestezi sonrası uyanmada gecikme nedenleri ve tedavi yöntemleri incelenmiştir.Anahtar kelimeler: Remifentanil, bupivakain, kolinesteraz eksikliği SUMMARY Delayed Awakening from AnesthesiaA 29 year-old man was operated under general anesthesia for multipl tendon transfers in the antecubital fossa. Interscalene block was performed to provide postoperative analgesia. The patient's awakening from anesthesia was delayed. Reasons for the delay of awakening from anesthesia and the treatment were discussed in this report.

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Section: Discussionunclassified

Delayed awakening from anesthesia

Utku¹,

Tunalı²,

Akçıl³

et al. 2012

J Turk Anaesth Int Care

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“…The causes of apnea can be related to muscle relaxant residual, overdose of sedative and analgesic drugs, hypothermia, hypocarbia, surgical traction, and compression of the mass. [1][2][3] Monitored anesthesia care, which was administered in this case, does not use muscle relaxants and will be maintained by propofol and remifentanil only. The blood concentration of propofol and remifentanil was too low to lead to apnea.…”

Section: Observationsmentioning

confidence: 99%

Brainstem anesthesia during awake craniotomy: illustrative case

Chen,

Sun,

Bai

et al. 2024

Journal of Neurosurgery: Case Lessons

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BACKGROUND Awake craniotomy (AC) is performed to remove the lesions near or in eloquent areas, during which the patients are alert and without any airway instrument. Apnea is a severe complication in AC. Here, the authors describe a case of sudden apnea induced by unexpected local anesthesia of the brainstem during AC. OBSERVATIONS A 42-year-old male underwent AC for a large, recurrent, bilateral frontal lobe mass and experienced transient apnea and loss of brainstem reflexes during the surgery. The patient recovered spontaneous breath rhythm just a few minutes after the removal of a lidocaine cotton pledget, which was found near the patient’s midbrain. Then the patient awoke and cooperated to finish the surgery. LESSONS The administration of a local anesthetic subdurally in AC is common but risky. The scouring action of cerebral spinal fluid can spread those agents and cause unexpected brainstem anesthesia. A lower concentration of the anesthetic and keeping away from the cistern can make it safer.

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Current awareness: Pharmacoepidemiology and drug safety

2007

Pharmacoepidemiology and Drug

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of pharmacoepidemiology and drug safety. Each bibliography is divided into 20 sections: 1 Reviews; 2 General; 3 Anti‐infective Agents; 4 Cardiovascular System Agents; 5 CNS Depressive Agents; 6 Non‐steroidal Anti‐inflammatory Agents; 7 CNS Agents; 8 Anti‐neoplastic Agents; 9 Haematological Agents; 10 Neuroregulator‐Blocking Agents; 11 Dermatological Agents; 12 Immunosuppressive Agents; 13 Autonomic Agents; 14 Respiratory System Agents; 15 Neuromuscular Agents; 16 Reproductive System Agents; 17 Gastrointestinal System Agents; 18 Anti‐inflammatory Agents ‐ Steroidal; 19 Teratogens/fetal exposure; 20 Others. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted.

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Prolonged apnea after remifentanil

Cited by 11 publications

References 16 publications

Delayed awakening from anesthesia

Delayed awakening from anesthesia

Brainstem anesthesia during awake craniotomy: illustrative case

Current awareness: Pharmacoepidemiology and drug safety

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