In:
Surgical Case Reports, Science Repository OU
Kurzfassung:
Masseter muscle rigidity can be seen following administration of opioids, succinylcholine, and nondepolarizing muscle relaxants. We report a case of a 56-year-old male patient in a “Cannot Intubate Cannot
Ventilate Situation” due to masseter muscle rigidity after initiating monitored anaesthesia care (MAC) with remifentanil and propofol using target-controlled infusion in procedural cardiology. For rapid effect and
equilibrium between plasma-concentration and effect site-concentration using target-controlled infusion, remifentanil overdose is possible during the induction period of MAC. Moreover, the presence of propofol
could result in a significantly greater remifentanil concentration. To manage masseter muscle rigidity, muscle relaxants and emergent ventilation systems should be prepared to secure airway maintenance. In
addition, alternative airway management devices and techniques should be on hand even if no airway difficulties are expected.
Materialart:
Online-Ressource
ISSN:
2613-5965
,
2613-5965
DOI:
10.31487/j.SCR.2020.07.18
Sprache:
Unbekannt
Verlag:
Science Repository OU
Publikationsdatum:
2020