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Journal of anesthesia · Jun 2016
Case ReportsA case of delayed respiratory depression caused by accidental subcutaneous opioid infusion.
- Takuya Okada, Moritoki Egi, Hitoaki Sato, Yuki Nomura, Masako Okada, Shinichiro Izuta, and Satoshi Mizobuchi.
- Division of Anesthesiology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe City, 650-0017, Japan.
- J Anesth. 2016 Jun 1; 30 (3): 489-92.
AbstractWe report a case of delayed respiratory depression due to accidental subcutaneous opioid infusion. A healthy 33-year-old woman underwent orthopedic surgery under general anesthesia. Before the end of the operation, it was noticed that a part of the opioid infusion had been administered subcutaneously. About 15 min after tracheal extubation, the patient developed respiratory depression and loss of consciousness. The patient recovered with the use of jaw lift together with bag-valve-mask ventilation. We believe that accidental subcutaneous opioid accumulation may have caused the respiratory depression.
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