title: Delayed awakening following inadvertent high-dose remifentanil infusion in a 13 year old patient.
abstract: We report the case of a 13 year old patient who received 3.0 mg of remifentanil during a 50-minute surgical procedure as a result of a dosage miscalculation. The patient failed to awaken at the conclusion of the procedure and showed signs of opioid overdose. She recovered spontaneously two hours later.
authors.affiliation: Department of Anesthesiology, Rambam Health Care Campus, affiliated with the Bruce Rappaport Faculty of Medicine, Technion, Haifa 31096, Israel. m_barak@rambam.health.gov.il
authors.forename: Michal
authors.initials: M
authors.lastname: Barak
authors.forename: Zina
authors.initials: Z
authors.lastname: Greenberg
authors.forename: Joshua
authors.initials: J
authors.lastname: Danino
mesh_terms: D000293:Adolescent; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects*; D000762:Anesthesia Recovery Period; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects*; D062787:Drug Overdose; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008508:Medication Errors; D010880:Piperidines / Q000008:administration & dosage / Q000009:adverse effects*; D000077208:Remifentanil; D013997:Time Factors
chemical_list: D000701:Analgesics, Opioid; D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil