Muscle rigidity is one of the common complications caused by fentanyl and its derivatives.1'2 The classical clinical manifestation of opioids-induced muscle rigidity is increased truncal muscle tone,which can lead to...Muscle rigidity is one of the common complications caused by fentanyl and its derivatives.1'2 The classical clinical manifestation of opioids-induced muscle rigidity is increased truncal muscle tone,which can lead to difficult ventilation.1-3 However,faciocervical rigidity following fentanyl is rare.Here we present a rare case of face and neck rigidity following intravenous fentanyl and complete upper airway obstruction in consequence of glottic closure in a patient with co-existing vocal cord paralysis.Keywords:muscle rigidity; airway obstruction; glottic closure; vocal cord paralysis展开更多
文摘Muscle rigidity is one of the common complications caused by fentanyl and its derivatives.1'2 The classical clinical manifestation of opioids-induced muscle rigidity is increased truncal muscle tone,which can lead to difficult ventilation.1-3 However,faciocervical rigidity following fentanyl is rare.Here we present a rare case of face and neck rigidity following intravenous fentanyl and complete upper airway obstruction in consequence of glottic closure in a patient with co-existing vocal cord paralysis.Keywords:muscle rigidity; airway obstruction; glottic closure; vocal cord paralysis