Korean J Anesthesiol.  2008 Dec;55(6):740-743. 10.4097/kjae.2008.55.6.740.

Respiratory failure following patient-controlled analgesia (PCA) in a patient with chronic renal failure: A case report

• Lee YB
• Lee KH
• Park JT
• Lee SH
• Ahn MC

• KMID: 1782552
• DOI: http://doi.org/10.4097/kjae.2008.55.6.740

Abstract

A 28-year old woman in DM (Ed note: Define DM) and chronic renal failure underwent an uneventful open reduction and internal fixation for an ankle fracture under spinal anesthesia. PCA with fentanyl and tramadol was started in the operating room with a background infusion of 2 ml/hr (10 microgram/h of fentanyl and 6 mg/h of tramadol), a bolus dose of 2 ml and a lockout interval of fifteen minutes. Approximately eight hours after initiating PCA the patient was found unresponsive in the ward with respiratory failure. Resuscitation was started with endotracheal intubation and cardiac massage with an injection of epinephrine and atropine. The patient made a full and immediate recovery two hours later.

Keyword

chronic renal failure; fentanyl; respiratory failure; resuscitation; tramadol

MeSH Terms

Analgesia, Patient-Controlled
Anesthesia, Spinal
Animals
Ankle
Atropine
Epinephrine
Female
Fentanyl
Heart Massage
Humans
Intubation, Intratracheal
Kidney Failure, Chronic
Operating Rooms
Passive Cutaneous Anaphylaxis
Respiratory Insufficiency
Resuscitation
Tramadol
Atropine
Epinephrine
Fentanyl
Tramadol