Intrathecal tramadol may cause respiratory depression
Anaesthesia, Pain and Intensive Care. 2017; 21 (1): 87-89
en Inglés
| IMEMR
| ID: emr-187467
ABSTRACT
Opioids such as morphine and fentanyl have been used in neuraxial anesthesia to prolong the analgesic effects since long, but these have frequently been associated with few adverse effects e.g. nausea, vomiting, pruritus and rarely respiratory depression. Tramadol has also been used in epidural as well as spinal anesthesia, and respiratory depression has not been reported with its intrathecal use. We present a case in which 20 mg of intrathecal tramadol produced signs of opioid overdose including respiratory depression. The side effects were reversed with naloxone confirming our suspicion that these were caused by tramadol. We recommend adequate monitoring and vigilance for tramadol as is used for other intrathecal opioids
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Insuficiencia Respiratoria
/
Inyecciones Espinales
/
Sobredosis de Droga
/
Analgésicos Opioides
/
Anestesia Raquidea
/
Antagonistas de Narcóticos
Tipo de estudio:
Informe de Casos
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Anaesth. Pain Intensive Care
Año:
2017
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