Prolonged intravenous remifentanil infusion for labor analgesia.
A 34-h remifentanil infusion was administered for labor analgesia in a patient with thrombocytopenia and renal insufficiency. Compared with other opioids, remifentanil may produce fewer cumulative effects during prolonged infusion because of its unique metabolism.
Owen
Medge D
MD
Department of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1009, USA. mowen@wfubmc.edu
Poss
Michael J
MJ
Dean
Laura S
LS
Harper
Margaret A
MA
D016362:Analgesia, Obstetrical; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000009:adverse effects; D016736:Antiphospholipid Syndrome / Q000150:complications; D005260:Female; D005333:Fetus / Q000187:drug effects; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008297:Male; D010147:Pain Measurement; D010880:Piperidines / Q000008:administration & dosage* / Q000009:adverse effects; D011225:Pre-Eclampsia / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D000077208:Remifentanil; D051437:Renal Insufficiency / Q000150:complications; D013921:Thrombocytopenia / Q000150:complications
D000701:Analgesics, Opioid; D010880:Piperidines; D000077208:Remifentanil