[Life-threatening respiratory depression after pain therapy].
The case is reported of a female patient with attack-like neuropathic pain following lower arm injury with repeated respiratory depression and unconsciousness even after several administrations of sufficiently dosed analgetics for suppression of the attacks. Readers are encouraged to make their own diagnosis on the basis of the clinical findings and to discuss the case online (http://www.blogs.springer.com/DerSchmerz). The discussion and the solution will be published in the next issue.
Gläser
M
M
Abteilung Schmerztherapie, BG Unfallklinikum Bergmannsheil GmbH, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Deutschland. michael.glaeser@rub.de
Kohlhaas
K
K
Tegenthoff
M
M
Maier
C
C
D000328:Adult; D000700:Analgesics / Q000009:adverse effects* / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000009:adverse effects; D001134:Arm Injuries / Q000503:physiopathology*; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D008619:Mepivacaine / Q000009:adverse effects; D008874:Midazolam / Q000009:adverse effects; D009443:Neuritis / Q000188:drug therapy* / Q000209:etiology; D012131:Respiratory Insufficiency / Q000139:chemically induced*; D014474:Unconsciousness / Q000139:chemically induced*
D000700:Analgesics; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008619:Mepivacaine; D008874:Midazolam