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- W2016997401 abstract "<h3>To the Editor.—</h3> In reference to the article by Chen et al<sup>1</sup>we have had a similar experience with adynamic ileus following deliberate hypotensive anesthesia. We discovered the condition to be most prevalent with a balanced anesthesia technique using sufentanil (1 μg/kg) with isoflurane (0.5% to 1% concentrations with 50% nitrous oxide and oxygen combination). The postoperative pain medication protocol was morphine sulfate (5 to 10 mg) with hydroxyzine (Vistaril) (25 to 50 mg) every two to four hours. Our investigation revealed that six of 20 patients developed adynamic ileus postoperatively. Upon reviewing the literature, we feel that our experience was similar to that described as narcotic bowel syndrome by Sandgren et al.<sup>2</sup>The syndrome occurs two to four days postoperatively, with the cessation of the narcotic treatment. By switching from sufentanil to fentanyl we have eliminated this syndrome." @default.
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- W2016997401 date "1985-10-04" @default.
- W2016997401 modified "2023-09-26" @default.
- W2016997401 title "Adynamic Ileus Following Induced Hypertension" @default.
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- W2016997401 doi "https://doi.org/10.1001/jama.1985.03360130053019" @default.
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