긴장성 기흉으로 오인된 지연 발현된 아편양 제제 유발 근경축 -증례보고-
Opioid-induced Muscle Rigidity with a Delayed Manifestation Misunderstood as a Tension Pneumothorax -A case report-
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Opioid-induced rigidity is a potentially life-threatening complication that can occur after treatment with large doses of opioids, but with early recognition it can be treated effectively with naloxone or with muscle relaxants. Regarding its onset time, there have been few case reports that have described delayed manifestations of opioid-induced rigidity. The mechanism of this complication is not well understood. In this report we describe a case of incidental overdose injection of sufentanil and subsequently review the confusing clinical features that require immediate diffenrentiation and the possible mechanim of this complication. (Korean J Pain 2008; 21: 66−70)
Abstract
Opioid-induced rigidity is a potentially life-threatening complication that can occur after treatment with large doses of opioids, but with early recognition it can be treated effectively with naloxone or with muscle relaxants. Regarding its onset time, there have been few case reports that have described delayed manifestations of opioid-induced rigidity. The mechanism of this complication is not well understood. In this report we describe a case of incidental overdose injection of sufentanil and subsequently review the confusing clinical features that require immediate diffenrentiation and the possible mechanim of this complication. (Korean J Pain 2008; 21: 66−70)
참고문헌 (20)
- Bailey PL, "Intravenous opioid anesthetics. In: Anesthesia. 5th: Philiadelphia", pp.273~376 (2000), Churchill Livingstone
- Park JW, "Anesthetic induction using fentanyl", Korean J Anesthesiol, 22, pp.872~8 (1989)
- Benthuysen JL, "Physiology of alfentanil-induced rigidity", Anesthesiology, 64, pp.440~6 (1986)
- Goldberg M, "Postoperative rigidity following sufentanil administration", Anesthesiology, 63, pp.199~201 (1985)
- Christian CM 2nd, "Postopera‐ tive rigidity following fentanyl anesthesia", Anesthesiology, 58, pp.275~7 (1983)
- Leigh-Smith S, "Tension pneumothorax-time for a re-think?", Emerg Med J, 22, pp.8~16 (2005)
- Kitagawa N, "Meperidine-induced mus‐ cular rigidity during spinal anesthesia?", Anesth Analg, 103, pp.490~1 (2006)
- Bowdle TA, "Postoperative myoclonus and rigidity after anesthesia with opioids", Anesth Analg, 78, pp.783~6 (1994)
- Hug CC Jr, "Tissue redistribution of fentanyl and termination of its effects in rats", Anesthesiology, 55, pp.369~75 (1981)
- Streisand JB, "Fentanyl-indeced rigidity and uncon‐ sciousness in human volunteers. Incidence, duration, and plasma concentrations", Anesthesiology, 78, pp.629~34 (1993)
- Abrams JT, "Upper airway closure: a primary source of difficult ventilation with sufentanil induction of anesthesia", Anesth Analg, 83, pp.629~32 (1996)
- Arandia HY, "Glottic closure following large doses of fentanyl", Anesthesiology, 66, pp.574~5 (1987)
- Fahnenstich H, "Fentanyl- induced chest wall rigidity and laryngospasm in preterm and term infants", Crit Care Med, 28, pp.836~9 (2000)
- Lalley PM, "Mu-opioid receptor agonist effects on medullary respiratory neurons in the cat: evidence for involvement in certain types of ventilatory disturbances", Am J Physiol Regul Integr Comp Physiol, 285, pp.1287~304 (2003)
- Vankova ME, "Role of central mu, delta-1, and kappa-1 opioid receptors in opioid-induced muscle rigidity in the rat", Anesthesiology, 85, pp.574~83 (1996)
- Weinger MB, "Brain sites mediating opiate-induced muscle rigidity in the rat: methylnaloxonium mapping study", Brain Res, 544, pp.181~90 (1991)
- Roy S, "Fentanyl-induced rigidity during emer‐ gence from general anesthesia potentiated by venlafexine", Can J Anaesth, 50, pp.32~5 (2003)
- Weinger MB, "Dexmedetomidine, acting through central alpha-2 adrenoceptors, prevents opiate- induced muscle rigidity in the rat", Anesthesiology, 71, pp.242~9 (1989)
- Sanford TJ Jr, "Pretreatment with sedative- hypnotics, but not with nondepolarizing muscle relaxants, attenuates alfentanil-induced muscle rigidity", J Clin Anesth, 6, pp.473~80 (1994)
- Fu MJ, "Involvement of cerulospinal glutamatergic neurotransmission in fentanyl- induced muscular rigidity in the rat", Anesthesiology, 87, pp.1450~9 (1997)