Soták Michal, Henlín Tomáš, Tyll Tomáš
Department of Anesthesiology and Intensive Care of the 1st Faculty of Medicine, Military University Hospital Prague (ÚVN), U Vojenské nemocnice 1200, Prague, 169 02, Czech Republic.
Emergency Medical Service, Central Bohemia Region, Pribram, Czech Republic.
Int J Emerg Med. 2025 May 7;18(1):92. doi: 10.1186/s12245-025-00900-9.
Cadaveric spasm, also known as instantaneous rigor, is a rare and poorly understood phenomenon characterized by immediate muscle rigidity at the moment of death or cardiac arrest. This can result in severe trismus, making conventional airway management impossible. We present a case of a morbidly obese patient who suffered a sudden cardiac arrest with instantaneous rigor, necessitating an urgent surgical cricothyrotomy. This report underscores the need for early recognition of this condition, rapid decision-making regarding airway management, and the importance of specialized training for emergency physicians, particularly in anatomically challenging scenarios.
尸僵，也称为瞬间僵硬，是一种罕见且了解甚少的现象，其特征是在死亡或心脏骤停时肌肉立即僵硬。这可能导致严重的牙关紧闭，使传统的气道管理无法进行。我们报告一例病态肥胖患者，该患者突发心脏骤停并伴有瞬间僵硬，需要紧急进行外科环甲膜切开术。本报告强调了早期识别这种情况的必要性、关于气道管理的快速决策，以及对急诊医生进行专门培训的重要性，特别是在解剖结构具有挑战性的情况下。
