PCA-induced respiratory depression simulating stroke following endoluminal repair of abdominal aortic aneurysm: a case report
2007

Severe Respiratory Depression After Surgery

Sample size: 1 publication Evidence: low

Author Information

Author(s): Ahmad Javed, Riley Richard, Sieunarine Kishore

Primary Institution: Royal Perth Hospital

Hypothesis

Can PCA fentanyl use lead to respiratory depression that mimics a stroke in patients after abdominal aortic aneurysm repair?

Conclusion

The use of PCA with fentanyl can cause severe respiratory depression in patients following routine endoluminal graft repair of AAA.

Supporting Evidence

  • The patient was found drowsy and unresponsive after surgery.
  • CT scan ruled out stroke, showing normal results.
  • Naloxone was effective in reversing respiratory depression.

Takeaway

A woman had trouble breathing after surgery because of the pain medicine she used, which made her sleepy and unresponsive, but she got better with help.

Methodology

Case report detailing the patient's surgery, postoperative care, and recovery.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

78-year-old obese female with a history of osteoarthritis and a transient ischaemic attack.

Digital Object Identifier (DOI)

10.1186/1752-1947-1-45

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