title: Respiratory arrest in an obstetric patient using remifentanil patient-controlled analgesia.
abstract: Remifentanil patient-controlled analgesia is well established in many centres and provides satisfactory pain relief for many women in labour. We describe a patient using remifentanil patient-controlled analgesia who suffered a respiratory arrest requiring a brief period of ventilation. In our institution, remifentanil patient-controlled analgesia has been offered to women in labour since 2009. Up to this point, we had not observed any critical incidents in over 130 patients using this mode of analgesia in our labour suite.
authors.affiliation:  Specialist Registrar.
authors.forename: J C
authors.initials: JC
authors.lastname: Bonner
authors.affiliation:  Consultant Anaesthetist, Ninewells Hospital, Dundee, UK.
authors.forename: W
authors.initials: W
authors.lastname: McClymont
mesh_terms: D000293:Adolescent; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects*; D000701:Analgesics, Opioid / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D010102:Oxygen Inhalation Therapy / Q000379:methods; D010880:Piperidines / Q000009:adverse effects*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced*; D000077208:Remifentanil; D012131:Respiratory Insufficiency / Q000139:chemically induced* / Q000628:therapy
chemical_list: D000701:Analgesics, Opioid; D010880:Piperidines; D000077208:Remifentanil