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Acute withdrawal syndrome in a butorphanol-treated patient: an adverse combination of opioids
Shinjo, Japan
* E-mail: igarashi-ayu@umin.ac.jp
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Editor—We recently experienced withdrawal syndrome in a patient which was probably elicited by administration of remifentanil and butorphanol. The patient was a 58-yr-old man (169 cm, 53 kg) with bronchiectasis who had tracheal intubation because of pneumonia and a tracheotomy was planned. The patient was known to have had episodes of CO2 narcosis previously. Therefore, tracheotomy under