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Fentanyl-induced chest wall rigidity, otherwise known as wooden chest syndrome (WCS), is a rare complication of intravenous fentanyl. Fentanyl is an opiate medication that is often used in critical care and procedural settings as an analgesic paired with sedatives for intubated patients.
INTRODUCTION: Wooden chest syndrome (WCS) is a rare complication of fentanyl induced skeletal muscle rigidity by causing ventilatory failure. Fentanyl, a synthetic derivative of morphine, is commonly used in critical care settings for analgesia due to its short half- life and favorable pharmacokinetics.
What is Wooden Chest Syndrome? Fentanyl-induced chest wall rigidity, also known as Wooden Chest Syndrome (WCS), was first described in 1953. Since then, this condition has been increasingly noted in case reports published around the world.
We describe a rare case of fentanyl-induced chest wall rigidity syndrome during a routine bronchoscopy with endobronchial ultrasound guided-transbronchial needle aspiration (EBUS-TBNA) in a 55 year old male presenting with a lung mass and mediastinal lymphadenopathy.
Fentanyl induced chest wall rigidity, otherwise known as Wooden Chest Syndrome, is a rare complication of fentanyl characterized by a patient’s inability to properly ventilate. We present a patient with acute respiratory distress syndrome (ARDS) who developed this syndrome in a medical intensive care unit (ICU) setting.
INTRODUCTION: Wooden chest syndrome (WCS) is a rare and undesired outcome of synthetic opioids, which leads to muscle rigidity and ventilatory failure. WCS should be suspected when breath-holding spells and generalized muscle rigidity are observed in mechanically ventilated patients receiving infusions of fentanyl (or its derivatives).
Wooden chest syndrome (WCS), also known as fentanyl-induced rigidity, is a rare but known complication of intravenous (IV) fentanyl administration. The incidence of WCS is unknown due to multiple factors, including mortality in untreated patients and incident locations being unmonitored.
Numerous reports have documented the "wooden chest syndrome" associated with the use of large doses of opioids for induction of general anaesthesia.(2) This condition is characterised by increased muscle tone progressing to severe stiffness, particularly in the thoracic and abdominal muscles, sometimes leading to difficult ventilation. Hypoxemia,
WCS is an atypical pharmacology of F/FAs. Because of its rapid onset and non-opioid mechanism, WCS makes F/FA overdose particularly dangerous.
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, charac ….