Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report
We report a 44 year-old, American Society of Anesthesiologist Class I (ASA I), female patient scheduled for elective excision of a small lipoma of the left thigh. She went into a 90 minute apnea and complete muscle paralysis as evidenced by the absence of all stimulatory responses by a peripheral ne...
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Sultan Qaboos University
2010-08-01
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doaj-9f1cba5b6a6840e6bedc6834c06b0c4a2020-11-25T03:25:15ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282010-08-011022552571429Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case reportRashid M Khan0Naresh Kaul1Punnuvella H Neelakanthan2Department of Anesthesia & ICU, Khoula Hospital, Muscat, OmanDepartment of Anesthesia & ICU, Khoula Hospital, Muscat, OmanDepartment of Anesthesia & ICU, Khoula Hospital, Muscat, OmanWe report a 44 year-old, American Society of Anesthesiologist Class I (ASA I), female patient scheduled for elective excision of a small lipoma of the left thigh. She went into a 90 minute apnea and complete muscle paralysis as evidenced by the absence of all stimulatory responses by a peripheral nerve stimulator after receiving midazolam (1.0 mg) and fentanyl (100 µg) intravenously for sedation and analgaesia. The patient made an uneventful recovery after 90 minutes. No cause and effect relationship could be established between the administered drugs and this unusual response.https://journals.squ.edu.om/index.php/squmj/article/view/1502day case surgerymidazolam, fentanylapneamuscle paralysiscase reportoman |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rashid M Khan Naresh Kaul Punnuvella H Neelakanthan |
spellingShingle |
Rashid M Khan Naresh Kaul Punnuvella H Neelakanthan Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report Sultan Qaboos University Medical Journal day case surgery midazolam, fentanyl apnea muscle paralysis case report oman |
author_facet |
Rashid M Khan Naresh Kaul Punnuvella H Neelakanthan |
author_sort |
Rashid M Khan |
title |
Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report |
title_short |
Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report |
title_full |
Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report |
title_fullStr |
Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report |
title_full_unstemmed |
Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery : A case report |
title_sort |
fentanyl and midazolam induced respiratory arrest and neuromuscular paralysis during day care surgery : a case report |
publisher |
Sultan Qaboos University |
series |
Sultan Qaboos University Medical Journal |
issn |
2075-051X 2075-0528 |
publishDate |
2010-08-01 |
description |
We report a 44 year-old, American Society of Anesthesiologist Class I (ASA I), female patient scheduled for elective excision of a small lipoma of the left thigh. She went into a 90 minute apnea and complete muscle paralysis as evidenced by the absence of all stimulatory responses by a peripheral nerve stimulator after receiving midazolam (1.0 mg) and fentanyl (100 µg) intravenously for sedation and analgaesia. The patient made an uneventful recovery after 90 minutes. No cause and effect relationship could be established between the administered drugs and this unusual response. |
topic |
day case surgery midazolam, fentanyl apnea muscle paralysis case report oman |
url |
https://journals.squ.edu.om/index.php/squmj/article/view/1502 |
work_keys_str_mv |
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