• Masui · Aug 2009

    Case Reports

    [Increased dose of remifentanil caused difficult ventilation at emergence from general anesthesia].

    • Takashi Honda, Tamie Takenami, Nobuo Itou, Kaoruko Suzuki, Takashi Okamoto, and Sumio Hoka.
    • Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara 228-8555.
    • Masui. 2009 Aug 1;58(8):980-3.

    AbstractRemifentanil induces a higher incidence of respiratory rigidity than other opioids, especially when it is given at bolus injection for anesthetic induction. A 71-year-old man underwent pharyngo-laryngeal surgery under general anesthesia with remifentanil and sevoflurane. At the end of surgery, the ventilation through a tracheal tube became difficult due to muscle rigidity simultaneously with the increased dose of remifentanil and the decreased sevoflurane concentration. It should be kept in mind that increased doses of remifentanil during as well as at the end of surgery cause difficult ventilation associated with muscle rigidity.

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