Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration
Opioid-induced chest wall rigidity is an uncommon complication of opioids. Because of this, it is often difficult to make a differential diagnosis in a mechanically ventilated patient who experiences increased airway pressure and difficulty with ventilation. A 76-year-old female patient was admitted...
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Korean Society of Critical Care Medicine
2016-05-01
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doaj-ccc05a74bf4e472abfcca5d934a0e5f92020-11-24T21:13:46ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892016-05-0131211812210.4266/kjccm.2016.31.2.11811Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl AdministrationSung Yeon HamBo Ra LeeTaehoon HaJeongmin KimSungwon NaOpioid-induced chest wall rigidity is an uncommon complication of opioids. Because of this, it is often difficult to make a differential diagnosis in a mechanically ventilated patient who experiences increased airway pressure and difficulty with ventilation. A 76-year-old female patient was admitted to the intensive care unit (ICU) after surgery for periprosthetic fracture of the femur neck. On completion of the surgery, airway pressure was increased, and oxygen saturation fell below 95% after a bolus dose of fentanyl. After ICU admission, the same event recurred. Manual ventilation was immediately started, and a muscle relaxant relieved the symptoms. There was no sign or symptom suggesting airway obstruction or asthma on physical examination. Early recognition and treatment should be made in a mechanically ventilated patient experiencing increased airway pressure in order to prevent further deterioration.http://www.kjccm.org/upload/pdf/kjccm-2016-31-2-118.pdfanalgesics, opioidsasthmamuscle rigiditylung diseases, obstructive |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sung Yeon Ham Bo Ra Lee Taehoon Ha Jeongmin Kim Sungwon Na |
spellingShingle |
Sung Yeon Ham Bo Ra Lee Taehoon Ha Jeongmin Kim Sungwon Na Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration Korean Journal of Critical Care Medicine analgesics, opioids asthma muscle rigidity lung diseases, obstructive |
author_facet |
Sung Yeon Ham Bo Ra Lee Taehoon Ha Jeongmin Kim Sungwon Na |
author_sort |
Sung Yeon Ham |
title |
Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration |
title_short |
Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration |
title_full |
Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration |
title_fullStr |
Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration |
title_full_unstemmed |
Recurrent Desaturation Events due to Opioid-Induced Chest Wall Rigidity after Low Dose Fentanyl Administration |
title_sort |
recurrent desaturation events due to opioid-induced chest wall rigidity after low dose fentanyl administration |
publisher |
Korean Society of Critical Care Medicine |
series |
Korean Journal of Critical Care Medicine |
issn |
2383-4870 2383-4889 |
publishDate |
2016-05-01 |
description |
Opioid-induced chest wall rigidity is an uncommon complication of opioids. Because of this, it is often difficult to make a differential diagnosis in a mechanically ventilated patient who experiences increased airway pressure and difficulty with ventilation. A 76-year-old female patient was admitted to the intensive care unit (ICU) after surgery for periprosthetic fracture of the femur neck. On completion of the surgery, airway pressure was increased, and oxygen saturation fell below 95% after a bolus dose of fentanyl. After ICU admission, the same event recurred. Manual ventilation was immediately started, and a muscle relaxant relieved the symptoms. There was no sign or symptom suggesting airway obstruction or asthma on physical examination. Early recognition and treatment should be made in a mechanically ventilated patient experiencing increased airway pressure in order to prevent further deterioration. |
topic |
analgesics, opioids asthma muscle rigidity lung diseases, obstructive |
url |
http://www.kjccm.org/upload/pdf/kjccm-2016-31-2-118.pdf |
work_keys_str_mv |
AT sungyeonham recurrentdesaturationeventsduetoopioidinducedchestwallrigidityafterlowdosefentanyladministration AT boralee recurrentdesaturationeventsduetoopioidinducedchestwallrigidityafterlowdosefentanyladministration AT taehoonha recurrentdesaturationeventsduetoopioidinducedchestwallrigidityafterlowdosefentanyladministration AT jeongminkim recurrentdesaturationeventsduetoopioidinducedchestwallrigidityafterlowdosefentanyladministration AT sungwonna recurrentdesaturationeventsduetoopioidinducedchestwallrigidityafterlowdosefentanyladministration |
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1716748321096204288 |