Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jan 2008
Case Reports[Acute opiate tolerance and postoperative hyperalgesia after a brief infusion of remifentanil managed with multimodal analgesia].
Postoperative analgesia may be complicated by the occurrence of acute opiate tolerance and hyperalgesia. We present the case of a patient who underwent gynecological surgery that was complicated by intense pain in the immediate postoperative period. ⋯ Pain management with the usual dose of nonsteroidal anti-inflammatory drugs associated with a high dose of morphine (50 mg administered in less than 2 hours) produced no analgesic or adverse effects. The pain was finally brought under control by epidural perfusion of ropivacaine and fentanyl and subsequently maintained with multimodal analgesia.
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Rev Esp Anestesiol Reanim · Jan 2008
Letter Case Reports[Systemic mastocytosis and anesthesia: a case report].