Compromised Compliance: Chest Wall Rigidity and Glottic Closure After Opioid Administration

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Conference Proceeding - Restricted Access

Publication Date



A 43-year-old man with a history of sarcoidosis presents for C1-C4 cervical fusion after suffering a C2 fracture. Anesthesia was maintained with sevoflurane and remifentanil. After an uncomplicated case, the patient was successfully extubated awake. 25 mcg of fentanyl was administered for pain and apnea was noted, with steeply declining oxygen saturation thereafter. We discuss chest wall rigidity and glottic closure after the administration of opioid medications.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 9-11, 2021.