Delayed Respiratory Depression Secondary to Opioid Overdose After Multimodal Analgesia With Transversus Abdominis Plane Blocks in Postanesthesia Care Unit: A Case Report Journal Article

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Authors: O'Rourke, M.; Schmidt, E. S.; Metry, J. E.; Majewski, M. B.
Article Title: Delayed Respiratory Depression Secondary to Opioid Overdose After Multimodal Analgesia With Transversus Abdominis Plane Blocks in Postanesthesia Care Unit: A Case Report
Abstract: Pain control after open abdominal surgery often includes multimodal analgesia with thoracic epidural or transversus abdominis plane (TAP) block. After liposomal bupivacaine was approved for TAP blocks in 2015, it became an alternative to indwelling catheters. However, the pharmacokinetics and safety of its use during the perioperative period have not been thoroughly investigated, especially in conjunction with parenteral opioids. We present a case report of an elderly patient having urgent laparoscopic converted to open abdominal surgery, who experienced postoperative respiratory depression in the recovery room after multimodal therapy with liposomal bupivacaine TAP blocks, intravenous (IV) opioids, and ketorolac.
Journal Title: AA practice
Volume: 10
Issue: 7
ISSN: 2575-3126; 2575-3126
Publisher: Unknown  
Journal Place: United States
Date Published: 2018
Start Page: 182
End Page: 184
Language: eng
DOI/URL:

10.1213/XAA.0000000000000655
Notes: LR: 20180403; JID: 101714112; 2017/12/02 06:00 [pubmed]; 2017/12/02 06:01 [medline]; 2017/12/02 06:00 [entrez]; ppublish