Anesth Analg 2002;94:918-919
© 2002 International Anesthesia Research Society
OBSTETRIC ANESTHESIA
Prolonged Intravenous Remifentanil Infusion for Labor Analgesia
Medge D. Owen, MD,
Michael J. Poss, MD,
Laura S. Dean, MD, and
Margaret A. Harper, MD
Departments of Anesthesiology and Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina
Address correspondence and reprint requests to Medge Owen, MD, Department of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1009. Address e-mail to mowen{at}wfubmc.edu
IMPLICATIONS: A 34-h remifentanil infusion was administered for labor analgesia in a patient with thrombocytopenia and renal insufficiency. Compared with other opioids, remifentanil may produce fewer cumulative effects during prolonged infusion because of its unique metabolism.
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