Pentobarbital withdrawal and treatment in an infant in the pediatric cardiac intensive care unit.

Garret M Weber, Arthur J Smerling, John M Saroyan

Department of Anesthesiology, College of Physicians & Surgeons/Columbia University Medical Center, New York, NY 10032, USA. gmw9001@nyp.org

Journal of clinical anesthesia 2013 Feb

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Withdrawal syndromes following administration of sedative and analgesic infusions represent a significant morbidity that is described increasingly in the pediatric critical care literature. However, there are few descriptions of pentobarbital withdrawal symptoms and their treatment in the pediatric population. We describe an infant receiving multiple sedative and analgesic medications, including pentobarbital, who was resistant to our institution's standard weaning protocol, but whose severe withdrawal symptoms responded dramatically to phenobarbital loading and maintenance. Copyright © 2013 Elsevier Inc. All rights reserved.

Citation

Garret M Weber, Arthur J Smerling, John M Saroyan. Pentobarbital withdrawal and treatment in an infant in the pediatric cardiac intensive care unit. Journal of clinical anesthesia. 2013 Feb;25(1):62-5