Acute dystonia by droperidol during intravenous patient-controlled analgesia in young patients.
Patient-controlled analgesia (PCA) is an important means for postoperative analgesia with parenteral opioid. However, postoperative nausea and vomiting (PONV) remains a major problem with a PCA system. Droperidol is used in PCA to prevent PONV. Extrapyramidal reactions by droperidol are, however, occasionally induced. We describe two cases of severe extrapyramidal hypertonic syndrome with an intravenous administration of droperidol in PCA in young patients, following orthopedic surgery.
Park
Chang Kil
CK
Department of Anesthesiology, Eulji University School of Medicine, Daejon, Korea. pck@emc.eulji.ac.kr
Choi
Hwan Yeong
HY
Oh
In Young
IY
Kim
Myung Suk
MS
D000208:Acute Disease; D000293:Adolescent; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects*; D000700:Analgesics / Q000008:administration & dosage / Q000009:adverse effects*; D004329:Droperidol / Q000008:administration & dosage / Q000009:adverse effects*; D004421:Dystonia / Q000139:chemically induced*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male
D000700:Analgesics; D004329:Droperidol