Wooden Chest Syndrome: A Case Report of Fentanyl-Induced Chest Wall Rigidity.
Nathaniel R RosalFranklin L ThelmoStephanie TzarnasLauren DiCalvoShafaq TariqCraig GrossmanPublished in: Journal of investigative medicine high impact case reports (2021)
Wooden chest syndrome (WCS) describes a finding of fentanyl-induced skeletal muscle rigidity causing ventilatory failure. Known primarily to anesthesiology, pulmonary, and critical care fields, WCS is a rare complication that may affect patients of all ages if exposed to intravenous fentanyl, characterized by a patient's inability to properly ventilate. Given the rise of synthetic opioid deaths across the United States in the past decade, an understanding of all of fentanyl's effects on the body is necessary. In this article, we present a case of WCS in a patient with acute respiratory distress syndrome in a 61-year-old female.
Keyphrases
- acute respiratory distress syndrome
- case report
- skeletal muscle
- high glucose
- diabetic rats
- extracorporeal membrane oxygenation
- end stage renal disease
- newly diagnosed
- mechanical ventilation
- ejection fraction
- prognostic factors
- pulmonary hypertension
- chronic pain
- insulin resistance
- drug induced
- high dose
- oxidative stress
- metabolic syndrome
- endothelial cells
- type diabetes
- low dose
- adipose tissue
- stress induced