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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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