Emergency scenario of fentanyl induced faciocervical rigidity and complete upper airway obstruction during anesthesia induction  

作　　者：Liu Xiaowen Zou Yue Zhao Jing Huang Yuguang 

机构地区：[1]Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China

出　　处：《Chinese Medical Journal》2014年第3期595-596,共2页中华医学杂志（英文版）

摘　　要：Muscle rigidity is one of the common complications caused by fentanyl and its derivatives.1＇2 The classical clinical manifestation of opioids-induced muscle rigidity is increased truncal muscle tone,which can lead to difficult ventilation.1-3 However,faciocervical rigidity following fentanyl is rare.Here we present a rare case of face and neck rigidity following intravenous fentanyl and complete upper airway obstruction in consequence of glottic closure in a patient with co-existing vocal cord paralysis.Keywords：muscle rigidity; airway obstruction; glottic closure; vocal cord paralysisMuscle rigidity is one of the common complications caused by fentanyl and its derivatives.1＇2 The classical clinical manifestation of opioids-induced muscle rigidity is increased truncal muscle tone,which can lead to difficult ventilation.1-3 However,faciocervical rigidity following fentanyl is rare.Here we present a rare case of face and neck rigidity following intravenous fentanyl and complete upper airway obstruction in consequence of glottic closure in a patient with co-existing vocal cord paralysis.Keywords：muscle rigidity; airway obstruction; glottic closure; vocal cord paralysis

关 键 词：muscle rigidity airway obstruction glottic closure vocal cord paralysis 

分 类 号：S858.292[农业科学—临床兽医学] TJ92[农业科学—兽医学]