fentanyl-induced chest wall rigidity syndrome in a routine bronchoscopy

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ID: 228434
2017
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Abstract
Combination of sedatives such as fentanyl and midazolam during bronchoscopy is recommended by American College of Chest Physician due to its favourable drug profile. It improves patient comfort and tolerance, and is commonly given unless contraindicated. We describe a rare case of fentanyl-induced chest wall rigidity syndrome during a routine bronchoscopy with endobronchial ultrasound guided-transbronchial needle aspiration (EBUS-TBNA) in a 55 year old male presenting with a lung mass and mediastinal lymphadenopathy. This was effectively managed with neuromuscular blockade, intubation and reversal agents including naloxone. This rare complication should be effectively managed by all bronchoscopist as it carries significant mortality and morbidity if not recognised early. We review the literature on the occurrence of fentanyl-induced chest wall rigidity and its predisposing risks factors.
Reference Key
phua2017respiratoryfentanyl-induced Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Chee Kiang Phua;Audrey Wee;Albert Lim;John Abisheganaden;Akash Verma
Journal current treatment options in cardiovascular medicine
Year 2017
DOI
10.1016/j.rmcr.2017.02.012
URL
http://www.sciencedirect.com/science/article/pii/S2213007116301526
Keywords
lung cancer bronchoscopy

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