The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Opioid-induced Muscle Rigidity with a Delayed Manifestation Misunderstood as a Tension Pneumothorax -A case report-

긴장성 기흉으로 오인된 지연 발현된 아편양 제제 유발 근경축 -증례보고-

  • Kang, Bong Jin (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine) ;
  • Kim, Sung Hoon (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine)
  • 강봉진 (단국대학교 의과대학 마취통증의학교실) ;
  • 김성훈 (단국대학교 의과대학 마취통증의학교실)
  • Received : 2007.10.04
  • Accepted : 2007.12.20
  • Published : 2008.06.01
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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.

Keywords

References

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