Copyright
©The Author(s) 2025.
World J Clin Cases. Sep 6, 2025; 13(25): 104742
Published online Sep 6, 2025. doi: 10.12998/wjcc.v13.i25.104742
Published online Sep 6, 2025. doi: 10.12998/wjcc.v13.i25.104742
Table 1 Test results and parameters
Test | Result |
Blood urea | 72 mg/dL |
Serum creatinine | 3.8 mg/dL |
eGFR | 36 mL/minute/1.73 m2 |
HbA1c | 7.2 |
CBC, LFT, coagulation, echo, doppler | Within normal limits |
Urinalysis (protein, sugar) | Normal |
Vital signs | BP: 122/68 mmHg, HR: 72 bpm, RR: 15, SpO2: 92% |
ABG | pH: 7.25 (mild respiratory acidosis) |
CT & MRI brain | Cortical atrophy, lacunar infarcts |
CT pulmonary angiography | No embolism or pneumonitis |
Echocardiogram | Normal |
Doppler (lower limbs) | No DVT |
Tramadol level | 1.8 mg/L (elevated; normal: 0.1-0.8 mg/L) |
Table 2 Intensive care unit interventions and parameters
Intervention | Details |
Intubation & ventilation | SIMV mode, PEEP 6, FiO2 60%, VT: 550 |
Opioid reversal | Buprenorphine patch removed, naloxone on standby |
Diuresis | IV frusemide 40 mg BID |
Recovery | GCS improved to 15/15 within 48 hours |
Extubation & mobilization | POD 6 |
Pain management post-recovery | Paracetamol 1 g Q8H, pregabalin 75 mg QHS |
Discharge | POD 10, stable vitals, no respiratory distress |
- Citation: Harna B, Arya S. Tramadol overdose in total knee arthroplasty: A case report. World J Clin Cases 2025; 13(25): 104742
- URL: https://www.wjgnet.com/2307-8960/full/v13/i25/104742.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v13.i25.104742