Fentanyl abuse

Fentanyl abuse Reactions 1704, p162 - 2 Jun 2018 Muscle rigidity: case report A 52-year-old man developed muscle rigidity following fentanyl abuse [dosage and indication not stated]. The man injected himself with an IV injection that he had bought from a drug dealer, (he thought that it was mixture of opioids like heroin and methadone) in a supervised consumption facility in Vancouver. Shortly following the injection, he was found seated with fists clenched, elbows flexed, and neck stiff and flexed. He was unresponsive to sternal rub or verbal stimuli, but his eyes were open. The chest was rigid, he was cyanotic and was not spontaneously breathing. The man received artificial respirations with a bag valve mask on oxygen, which provided partial ventilation and SC naloxone was administered. His oxygen saturation was low and he had a strong carotid pulse. Two minutes after the naloxone administration, it became easier to ventilate him and to position his airway. His oxygen saturation improved and within six minutes, his rigidity completely disappeared. He opened his eyes and was breathing spontaneously. The cooker the patient had used to prepare his drugs was analysed and the sample was found to contain fentanyl. He was subsequently diagnosed with fentanyl-induced muscle rigidity. He made a full recovery without any sequelae. Author comment: "Fentanyl-induced muscle rigidity was diagnosed" Buxton JA, et al. A 52-year-old man with fentanyl-induced muscle rigidity. CMAJ: Canadian Medical Association Journal 190: E539-E541, No. 17, 30 Apr 2018. Available from: URL: http://doi.org/10.1503/cmaj.171468 - Canada 803323289 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Reactions Weekly Springer Journals

Fentanyl abuse

Reactions Weekly , Volume 1704 (1) – Jun 2, 2018
Free
1 page

Loading next page...
1 Page
 
/lp/springer_journal/fentanyl-abuse-6A3XQSR0Df
Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Drug Safety and Pharmacovigilance; Pharmacology/Toxicology
ISSN
0114-9954
eISSN
1179-2051
D.O.I.
10.1007/s40278-018-46805-8
Publisher site
See Article on Publisher Site

Abstract

Reactions 1704, p162 - 2 Jun 2018 Muscle rigidity: case report A 52-year-old man developed muscle rigidity following fentanyl abuse [dosage and indication not stated]. The man injected himself with an IV injection that he had bought from a drug dealer, (he thought that it was mixture of opioids like heroin and methadone) in a supervised consumption facility in Vancouver. Shortly following the injection, he was found seated with fists clenched, elbows flexed, and neck stiff and flexed. He was unresponsive to sternal rub or verbal stimuli, but his eyes were open. The chest was rigid, he was cyanotic and was not spontaneously breathing. The man received artificial respirations with a bag valve mask on oxygen, which provided partial ventilation and SC naloxone was administered. His oxygen saturation was low and he had a strong carotid pulse. Two minutes after the naloxone administration, it became easier to ventilate him and to position his airway. His oxygen saturation improved and within six minutes, his rigidity completely disappeared. He opened his eyes and was breathing spontaneously. The cooker the patient had used to prepare his drugs was analysed and the sample was found to contain fentanyl. He was subsequently diagnosed with fentanyl-induced muscle rigidity. He made a full recovery without any sequelae. Author comment: "Fentanyl-induced muscle rigidity was diagnosed" Buxton JA, et al. A 52-year-old man with fentanyl-induced muscle rigidity. CMAJ: Canadian Medical Association Journal 190: E539-E541, No. 17, 30 Apr 2018. Available from: URL: http://doi.org/10.1503/cmaj.171468 - Canada 803323289 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704

Journal

Reactions WeeklySpringer Journals

Published: Jun 2, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off