Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery A case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2010, Vol 10, Issue 2
Abstract
We report a 44 year-old, American Society of Anesthesiologist Class I (ASA I), female patient scheduled for elective excision of a small lipoma of the left thigh. She went into a 90 minute apnea and complete muscle paralysis as evidenced by the absence of all stimulatory responses by a peripheral nerve stimulator after receiving midazolam (1.0 mg) and fentanyl (100 µg) intravenously for sedation and analgaesia. Te patient made an uneventful recovery after 90 minutes. No cause and effect relationship could be established between the administered drugs and this unusual response.
Authors and Affiliations
Rashid M Khan| Department of Anesthesia & ICU, Khoula Hospital, Muscat, Oman, Naresh Kaul| Department of Anesthesia & ICU, Khoula Hospital, Muscat, Oman, Punnuvella H Neelakanthan| Department of Anesthesia & ICU, Khoula Hospital, Muscat, Oman
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