지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 118 - 122 (5page)
이용수
초록· 키워드
오류제보하기
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-yearold 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.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Scamman FL / 1983 / Fentanyl-O2-N2O rigidity and pulmonary compliance / Anesth Analg 62:332~334
Coruh B / 2013 / Fentanyl-induced chest wall rigidity / Chest 143:1145~1146
Dimitriou V / 2014 / 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 22:619~622
임성규 / 2012 / 소량의 Fentanyl 투여 후 발생한 근육 강직과 폐 부종 -증례 보고- / The Korean Journal of Critical Care Medicine 27(3):197~201
Klausner JM / 1988 / Delayed muscular rigidity and respiratory depression following fentanyl anesthesia / Arch Surg 123:66~67
Coruh B / 2013 / Fentanyl-induced chest wall rigidity / Chest 143:1145~1146
Dimitriou V / 2014 / 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 22:619~622
임성규 / 2012 / 소량의 Fentanyl 투여 후 발생한 근육 강직과 폐 부종 -증례 보고- / The Korean Journal of Critical Care Medicine 27(3):197~201
Klausner JM / 1988 / Delayed muscular rigidity and respiratory depression following fentanyl anesthesia / Arch Surg 123:66~67
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