title: 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.
authors.affiliation: University of Cincinnati College of Medicine, Ohio.
authors.forename: W E
authors.initials: WE
authors.lastname: Ackerman
authors.forename: J C
authors.initials: JC
authors.lastname: Phero
authors.forename: G T
authors.initials: GT
authors.lastname: Theodore
mesh_terms: D000328:Adult; D000771:Anesthesia, Intravenous / Q000009:adverse effects; D016292:Procedural Sedation / Q000009:adverse effects*; D004107:Dilatation and Curettage; D005260:Female; D005283:Fentanyl / Q000009:adverse effects*; D006801:Humans; D008874:Midazolam / Q000009:adverse effects*; D009270:Naloxone / Q000627:therapeutic use; D012133:Respiratory Paralysis / Q000139:chemically induced*
chemical_list: D009270:Naloxone; D008874:Midazolam; D005283:Fentanyl