Abstract
We report a 44 year-old, American Society of Anesthesiologist Class I (ASA I), female patient scheduled for elective excision of a small lipoma of the left thigh. She went into a 90 minute apnea and complete muscle paralysis as evidenced by the absence of all stimulatory responses by a peripheral nerve stimulator after receiving midazolam (1.0 mg) and fentanyl (100 µg) intravenously for sedation and analgaesia. The patient made an uneventful recovery after 90 minutes. No cause and effect relationship could be established between the administered drugs and this unusual response.
Publication details
- DOI
- 10.18295/2075-0528.1195
- Journal
- Sultan Qaboos University Medical Journal, 10(2), 255-257
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Khan, R. M., Kaul, N., & H., P. (2025). Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report. Sultan Qaboos University Medical Journal, 10(2), 255-257. https://doi.org/10.18295/2075-0528.1195
MLA 9
Khan, Rashid M., et al. "Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report." Sultan Qaboos University Medical Journal, vol. 10, no. 2, 2025, pp. 255-257. https://doi.org/10.18295/2075-0528.1195.
Chicago (author–date)
Khan, Rashid M., Naresh Kaul, and Punnuvella H. 2025. "Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report." Sultan Qaboos University Medical Journal 10 (2): 255-257. https://doi.org/10.18295/2075-0528.1195.
Harvard
Khan, R. M., Kaul, N. and H., P. (2025) 'Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report', Sultan Qaboos University Medical Journal, 10(2), pp. 255-257. doi:10.18295/2075-0528.1195.
Vancouver
Khan RM, Kaul N, H. P. Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report. Sultan Qaboos University Medical Journal. 2025;10(2):255-257. doi:10.18295/2075-0528.1195
IEEE
R. M. Khan, N. Kaul, and P. H., "Fentanyl and Midazolam induced Respiratory Arrest and Neuromuscular Paralysis during Day Care Surgery: A case report," Sultan Qaboos University Medical Journal, vol. 10, no. 2, pp. 255-257, 2025, doi: 10.18295/2075-0528.1195.