Rwanda Medical Journal
Rwanda Health Communication Center - Rwanda Biomedical Center (RHCC - RBC)
Vol. 78, No. 1, 2021, pp. 5-8
Bioline Code: rw21001
Full paper language: English
Document type: Case Report
Document available free of charge
Rwanda Medical Journal, Vol. 78, No. 1, 2021, pp. 5-8
© Copyright 2021 - The Author(s)
Fentanyl-Induced Chest Wall Rigidity 1n a 6-Year-Old Child: A Case Report|
Niyodusenga, A. & Nshimyumuremyi, I.
INTRODUCTION: Chest wall rigidity is muscle rigidity affecting the thoracic and abdominal muscles
following the administration of high doses of opioids including Fentanyl. In our case, we present a
rare case of chest wall rigidity induced by fentanyl administration.
CASE PRESENTATION: A 6-year-old male patient presented to the E.N.T. department in
the University Teaching Hospital of Butare with a 3-year history of recurrent tonsillitis with
obstructive sleep apnea and Grade IV adenoid and grade III tonsils on physical examination.
Elective adenotonsillectomy was planned and preoperative induction of general anesthesia with
Halothane and Ketamine, Fentanyl and Propofol was done. The child experienced persistent chest
rigidity that was immediately treated with IV Naloxone.
CONCLUSION: Fentanyl-induced chest wall rigidity is an uncommon but severe complication,
especially in children. Once treated very early, the condition successfully improves.
Chest Rigidity; Fentanyl; General Anesthesia; Case Report
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