Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: a case report

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia, Pain & Intensive Care Pub Date : 2021-12-12 DOI:10.35975/apic.v25i6.1709

Muhamad Rafiqi Hehsan, Wan Fadzlina Wan Muhd Shukeri

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引用次数: 1

Abstract

The sedoanalgesic drugs frequently have to be administered to relieve pain and anxiety of patients in intensive care units (ICU). An ideal agent would be rapidly metabolized, and facilitate desirable level of sedation without compromising hemodynamic and respiratory function. This makes opioids and benzodiazepines to be the most commonly prescribed drugs in intensive care. However, weaning off from these drugs may be associated with withdrawal effects. We present a case report of febrile seizure following airway pediatric surgery and opiate and benzodiazepine discontinuation. The weaning off process from these drugs should be meticulously done especially in pediatric age group to avoid subsequent complications. Key words: Febrile seizure; Opioids; Benzodiazepine; Withdrawal; Post-operative; Airways Abbreviations: PICU - Pediatric intensive care unit; IWS - Iatrogenic withdrawal syndrome Citation: Hehsan MR, Shukeri WFWM. Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: a case report. Anaesth. pain intensive care 2021;25(6):804–806: DOI: 10.35975/apic.v25i6.1709 Received: September 10, 2021, Reviewed: September 18, 2021, Accepted: October 25, 2021

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小儿气道手术后阿片类药物和苯二氮卓类药物停药继发发热性癫痫1例报告

在重症监护室（ICU）中，为了缓解患者的疼痛和焦虑，必须经常服用镇静药。理想的药物可以快速代谢，并在不损害血液动力学和呼吸功能的情况下促进理想的镇静水平。这使得阿片类药物和苯二氮卓类药物成为重症监护中最常见的处方药物。然而，停用这些药物可能会产生戒断效应。我们报告了一例儿童气道手术后的发热性癫痫，停用阿片类药物和苯二氮卓类药物。这些药物的断奶过程应该仔细进行，尤其是在儿科年龄组，以避免随后的并发症。关键词：伤寒；阿片类药物；苯二氮卓类药物；撤回术后；航空缩写：PICU-儿科重症监护室；IWS-医源性戒断综合征引文：Hehsan MR，Shukeri WFWM。小儿气道手术后阿片类药物和苯二氮卓类药物停药继发的发热性癫痫：一例报告。Anaesth。疼痛重症监护2021；25（6）：804–806:DOI:10.35975/apic.v25i6.1709接收日期：2021年9月10日，审核日期：2021月18日，接受日期：2020年10月25日

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来源期刊

Anaesthesia, Pain & Intensive Care ANESTHESIOLOGY-

CiteScore

0.40

自引率

0.00%

发文量

审稿时长

4 weeks