A Case of Tracheal Intubation for Apnea with Epidural Opioid in Recovery Room after Operation under General Anesthesia

Kentaro Ouchi, Hiroshi Uno, Kazuna Sugiyama

研究成果: Contribution to journalArticle査読

抄録

We report a 68-year-old, American Society of Anesthesiologists Class I (ASA I), female patient scheduled for malignant uterine adnexal tumor surgery and revascularization for ovarian cancer. An epidural catheter was inserted at T12-L1 for 5 cm. Anesthesia was induced with remifentanil (0. 25μg·kg-1·min-1), sevoflurane (5%) and rocuronium (30 mg). Anesthesia was satisfactorily maintained after intubation with sevoflurane (1.5%) and remifentanil (0.2μg·kg -1·min-1). We extubated the patient because spontaneous breathing and consciousness were observed. We intubated the patient immediately for apnea that occurred after extubation. The patient made an uneventful recovery after naloxone administration. In pharmacokinetic simulation, on the assumption that epidural administrated fentanyl was carried to blood content promptly, effect concentration to cause respiratory depression was not reached. Postoperative apnea was rationalized as follows ; tardy respiratory depression with the epidural administration, and unexpected dosage of the residual fentanyl in the catheter.

本文言語英語
ページ(範囲)1237-1240
ページ数4
ジャーナルJapanese Journal of Anesthesiology
62
10
出版ステータス出版済み - 10 2013
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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