Remifentanil - Was it only respiratory arrest?

摘要

I found Bonner and McClymont's case report highlighting an opioid-induced adverse drug reaction interesting [1]. Patients with opi-oid-induced respiratory depression are normally responsive to commands to breathe, but this may not be the case with rapidly acting opioids such as remifentanil, as would seem to have occurred in the case reported in which the patient progressed to unconsciousness despite verbal stimulation. I suggest that the possibility of rem-ifentanil-induced chest wall rigidity was missed. This phenomenon is not responsive to voluntary control and can result in hypoxia [2]. The authors report that bag/mask ventilation was undertaken, but did not comment on the compliance of the chest wall.