Ineffective ventilation during conscious sedation due to chest wall rigidity after intravenous midazolam and fentanyl
- PMID: 2077987
- PMCID: PMC2163527
Ineffective ventilation during conscious sedation due to chest wall rigidity after intravenous midazolam and fentanyl
Abstract
Chest wall rigidity has been reported after the administration of high-dose intravenous fentanyl. This case report supports the observation that low-dose intravenous fentanyl may also cause chest wall rigidity. The treatment of chest wall rigidity with naloxone or neuromuscular blocking agents is controversial. A discussion of the management of fentanyl-induced chest wall rigidity is presented.
Similar articles
-
Chest wall rigidity in two infants after low-dose fentanyl administration.Pediatr Emerg Care. 2012 May;28(5):465-8. doi: 10.1097/PEC.0b013e3182535a2a. Pediatr Emerg Care. 2012. PMID: 22561320
-
Low-dose fentanyl and midazolam in outpatient surgical abortion up to 18 weeks of gestation.Contraception. 2009 Feb;79(2):122-8. doi: 10.1016/j.contraception.2008.08.005. Epub 2008 Oct 9. Contraception. 2009. PMID: 19135569
-
Midazolam-fentanyl intravenous sedation in children: case report of respiratory arrest.Pediatrics. 1990 Sep;86(3):463-7. Pediatrics. 1990. PMID: 2388795 No abstract available.
-
Fentanyl-induced chest wall rigidity.Chest. 2013 Apr;143(4):1145-1146. doi: 10.1378/chest.12-2131. Chest. 2013. PMID: 23546488
-
Impossible mask ventilation after an unusually low dose fentanyl-induced muscle rigidity in a patient with essential tremor: a case report and review of the literature.Middle East J Anaesthesiol. 2014 Oct;22(6):619-22. Middle East J Anaesthesiol. 2014. PMID: 25669008 Review.
Cited by
-
Fentanyl-Induced Chest Wall Rigidity as a Cause of Acute Respiratory Failure in the Intensive Care Unit.J Med Cases. 2019 Aug;10(8):249-252. doi: 10.14740/jmc3351. Epub 2019 Aug 26. J Med Cases. 2019. PMID: 34434315 Free PMC article.
-
Respiratory Depression Associated with Opioids: A Narrative Review.Curr Treat Options Oncol. 2024 Nov;25(11):1438-1450. doi: 10.1007/s11864-024-01274-5. Epub 2024 Oct 21. Curr Treat Options Oncol. 2024. PMID: 39432171 Review.
-
Objective Characterization of Opiate-Induced Chest Wall Rigidity.Cureus. 2020 Jun 5;12(6):e8459. doi: 10.7759/cureus.8459. Cureus. 2020. PMID: 32566433 Free PMC article.
-
Fentanyl-induced chest wall rigidity syndrome in a routine bronchoscopy.Respir Med Case Rep. 2017 Feb 28;20:205-207. doi: 10.1016/j.rmcr.2017.02.012. eCollection 2017. Respir Med Case Rep. 2017. PMID: 28337407 Free PMC article.
-
Noradrenergic Mechanisms in Fentanyl-Mediated Rapid Death Explain Failure of Naloxone in the Opioid Crisis.J Pharmacol Exp Ther. 2019 Nov;371(2):453-475. doi: 10.1124/jpet.119.258566. Epub 2019 Sep 6. J Pharmacol Exp Ther. 2019. PMID: 31492824 Free PMC article. Review.
References
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources