NDLI: Intranasal self-administration of remifentanil as the foray into opioid abuse by an anesthesia resident.

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Intranasal self-administration of remifentanil as the foray into opioid abuse by an anesthesia resident.

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Intranasal self-administration of remifentanil as the foray into opioid abuse by an anesthesia resident.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Levine, Adam I. Bryson, Ethan O.
Description	Country affiliation: United States Author Affiliation: Levine AI ( Department of Anesthesiology, Mount Sinai Hospital, New York, New York 10029, USA.)
Abstract	Remifentanil is a potent micro-opioid receptor agonist that produces intense analgesia. This anilidopiperidine analog of fentanyl was approved by the United States Food and Drug Administration and became commercially available in the United States in 1997. Because of its unique chemical structure, remifentanil must be reconstituted; it has a rapid onset, and because of ester hydrolysis, it has a rapid rate of degradation. Although remifentanil's package insert warns against the potential for addiction, because of its rapid rate of degradation there was little concern that health care workers would abuse this drug. Herein, we report a case of intranasal remifentanil abuse by an anesthesiology resident.
File Format	HTM / HTML
ISSN	00032999
Issue Number	2
Volume Number	110
e-ISSN	15267598
Journal	Anesthesia & Analgesia
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2010-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Analgesics, Opioid Anesthesiology Education Internship And Residency Physician Impairment Piperidines Substance-related Disorders Administration, Intranasal Adult Administration & Dosage Fentanyl Humans Male Case Reports Journal Article
Content Type	Text
Resource Type	Article Case study
Subject	Anesthesiology and Pain Medicine

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