Open AccessEpidural analgesia for acute ischemic pain after intra‐arterial zolpidem injection in opioid‐addicted patient—A case report
Author(s) -
Krajina Kmoniček Irena,
Kvolik Slavica,
Pinotić Kresimir,
Ištvanić Tomislav,
Mraovic Boris,
Marjanovic Ksenija
Publication year - 2020
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.3445
Subject(s) - medicine , anesthesia , opioid , zolpidem , ischemia , acute pain , pharmacology , cardiology , receptor , insomnia
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.