Epidural dexmedetomidine infusion in a patient with chronic opioid use and intractable pain following abdominoperineal resection.
analgesia
dexmedetomidine
epidural
postoperative pain
Journal
Oxford medical case reports
ISSN: 2053-8855
Titre abrégé: Oxf Med Case Reports
Pays: England
ID NLM: 101642070
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
22
12
2019
revised:
03
02
2020
accepted:
11
03
2020
entrez:
2
6
2020
pubmed:
2
6
2020
medline:
2
6
2020
Statut:
epublish
Résumé
Dexmedetomidine is a selective alpha 2 adrenergic agonist with known analgesic properties. Its perioperative use is associated with reduced pain scores and an opioid sparing effect. Management of postoperative pain in patients with a history of chronic opioid use can be challenging. Multimodal analgesia is recommended although the perioperative use of dexmedetomidine has not been extensively studied in this patient population. We present a case of intractable abdominal pain following open abdominoperineal resection in a patient with rectal cancer and a history of chronic opioid use. Following the introduction of dexmedetomidine into the patient's postoperative epidural solution, a noticeable decline in reported pain scores and use of breakthrough analgesia was appreciated. The analgesic efficacy of epidural dexmedetomidine in patients with a history of chronic opioid use warrants further study.
Identifiants
pubmed: 32477571
doi: 10.1093/omcr/omaa021
pii: omaa021
pmc: PMC7243718
doi:
Types de publication
Journal Article
Langues
eng
Pagination
omaa021Informations de copyright
© The Author(s) 2020. Published by Oxford University Press.
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