Compromised Compliance: Chest Wall Rigidity and Glottic Closure After Opioid Administration
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.
Cruz A, Ahmed A, Markatos NS, Manders L. Compromised compliance: chest wall rigidity and glottic closure after opioid administration. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 9-11; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4628