Wells S, Williamson M, Hooker D
North Carolina Baptist Hospitals, Inc., Winston-Salem.
Heart Lung. 1994 May-Jun;23(3):196-8.
Fentanyl-induced chest wall rigidity occurred in an 8-week-old infant girl recovering from surgical repair of coarctation of the aorta. The neonate received 30 minutes of a moderate dose continuous infusion of fentanyl before chest wall rigidity developed. Association of the chest wall rigidity with the fentanyl infusion resulted in the appropriate intervention of narcotic reversal and prevented irreversible hypoxic sequelae. Patients receiving fentanyl, even at moderate doses, are at risk for the development of chest wall rigidity.
一名8周大的女婴在接受主动脉缩窄手术修复后恢复过程中出现了芬太尼诱导的胸壁强直。该新生儿在胸壁强直出现前接受了30分钟的中等剂量芬太尼持续输注。胸壁强直与芬太尼输注的关联导致了适当的麻醉逆转干预,并预防了不可逆的缺氧后遗症。接受芬太尼治疗的患者,即使是中等剂量,也有发生胸壁强直的风险。