Development of postoperative central anticholinergic syndrome due to low-dose intravenous fentanyl
| Autor: | Ji Yeon Kim, Hojae Cho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Physostigmine
business.industry Analgesic Low dose Central Anticholinergic Syndrome Case Report fentanyl myoclonus Fentanyl 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Opioid 030202 anesthesiology postoperative pain control Anesthesia Anesthetic medicine medicine.symptom business Myoclonus Central anticholinergic syndrome 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Saudi Journal of Anaesthesia |
| ISSN: | 0975-3125 1658-354X |
| Popis: | A 37-year-old female patient, 57 kg and 160 cm, underwent laparoscopic appendectomy. In the recovery room, fentanyl 100 mcg was intravenously administered for pain control. Three minutes after the administration, the patient developed intense and uncontrolled myoclonus, lower limb rigidity, agitation, aphasia, and periocular and neck swelling. The myoclonus and rigidity were suspected to be due to the opioid administration, and thus, naloxone was administered, but the symptoms were not improved. The patient's symptoms continued until the patient received administration of physostigmine. The patient was discharged 3 days later, following resolution of the symptoms. We report a case of central anticholinergic syndrome that developed after general anesthesia owing to the interaction of opioid at an analgesic dose for postoperative pain control with another anesthetic. |
| Databáze: | OpenAIRE |
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