Evidence map›Paper›PMID 42609593›Full record

ArticleClinical case reports2026

Suspected Remifentanil-Induced Hyperalgesia in the ICU With Resolution After Opioid Rotation and no Recurrence on Re-Exposure: A Case Report.

Hiroaki Takada, Saeko Kohara, Taiki Yamataka, Main Nakamura, Eijyu Hasegawa

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hiroaki TakadaDepartment of Critical Care Medicine and Trauma National Hospital Organization Disaster Medical Center Tachikawa Tokyo Japan.ORCID https://orcid.org/0000-0001-9110-6772
Saeko KoharaDepartment of Critical Care Medicine and Trauma National Hospital Organization Disaster Medical Center Tachikawa Tokyo Japan.
Taiki YamatakaDepartment of Critical Care Medicine and Trauma National Hospital Organization Disaster Medical Center Tachikawa Tokyo Japan.
Main NakamuraDepartment of Critical Care Medicine and Trauma National Hospital Organization Disaster Medical Center Tachikawa Tokyo Japan.
Eijyu HasegawaDepartment of Critical Care Medicine and Trauma National Hospital Organization Disaster Medical Center Tachikawa Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Remifentanil-induced hyperalgesia should be considered in ICU patients with worsening pain despite dose escalation. Differentiation from acute opioid tolerance is crucial, as timely opioid rotation may rapidly restore analgesia and allow safe re-exposure to remifentanil without recurrence during later surgery.

Indexed as

analgesiaanesthesiahyperalgesiaintensive caremorphineremifentanilsedation

Identifiers

PMID42609593
PMCPMC13478783

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.