fentanyl

Question 1

chest wall rigidity treatment

Answer 1

-Chest wall rigidity has been associated with potent opioids such as fentanyl and remifentanil.
-Although it is associated with rapid intravenous administration of a high dose of fentanyl, it has been also reported following aliquots of 50μg of fentanyl.
-treatment
-levallorphan
-Thiopental sodium
-severe degree of muscle rigidity at induction may require a rapidly-acting muscle relaxant such as suxamethonium.
-prevent
-Priming with vecuronium (0.02mg/kg) or rocuronium (0.06mg/kg)
-attenuate
-Midazolam at a dose of 0.075mg/kg but not prevent it