CIS-ATRACURIUM WITH MASSETER MUSCLE SPASM: AN UNANTICIPATED DIFFICULT ENDOTRACHEAL INTUBATION AND TEMPOROMANDIBULAR JOINT DISPLACEMENT: A CASE REPORT

ABSTRACT Masseter muscle spasm and displacement of temporomandibular joint under anaesthesia could be life threatening if an anaesthesiologist is not prepared. We present a case of 23 years old young lady, who otherwise healthy, having symptoms of abdominal pain and vomiting. Initial baseline workup...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2021-08 (4), p.1488
Main Authors: Muhammad Saad Yousuf, Syed Shabbir Ahmed, Samad, Khalid
Format: Article
Language:English
Subjects:
Abdomen
Airway management
Anesthesia
Blood pressure
Case reports
Conflicts of interest
Fentanyl
Fever
Fiber optics
Hemodynamics
Hyperthermia
Intubation
Jaw
Muscle pain
Nalbuphine
Neuromuscular blocking agents
Oxygen saturation
Patients
Remifentanil
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Summary:ABSTRACT Masseter muscle spasm and displacement of temporomandibular joint under anaesthesia could be life threatening if an anaesthesiologist is not prepared. We present a case of 23 years old young lady, who otherwise healthy, having symptoms of abdominal pain and vomiting. Initial baseline workup showed a solitary gallstone and was then planned for urgent laparoscopic cholecystectomy. The challenges faced in the perioperative period were the management of unanticipated masseter muscle spasm and difficult endotracheal intubation after administration of cisatracurium, and temporomandibular joint displacement.
ISSN:0030-9648
2411-8842