Epidural analgesia for acute ischemic pain after intra-arterial zolpidem injection in opioid-addicted patient-A case report.

Irena Krajina Kmoniček Slavica Kvolik Kresimir Pinotić Tomislav Ištvanić Boris Mraovic Ksenija Marjanovic

Published in: Clinical case reports (2020)

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.

Keyphrases

pain management
chronic pain
liver failure
spinal cord
drug induced
case report
neuropathic pain
respiratory failure
aortic dissection
postoperative pain
spinal cord injury
physical activity
acute respiratory distress syndrome
intensive care unit
endothelial cells
sleep quality
mechanical ventilation