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Transient aphonia, aphagia and facial tingling following intrathecal administration of fentanyl

community settings

Ramchandani S.
GSID: x_WzC9uiWuMJ
B Gupta, S Ramchandani, I Balakrishnan… - Anesthesia, Essays …, 2014 - ncbi.nlm.nih.gov

Subarachnoid block with local anaesthetic agent and opiod as an adjuvant is a well-known technique with a good record of safety. However, some rare neurological complications like …

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Gupta, B., Ramchandani, S., Balakrishnan, I., & Kumar, A. (2014). Transient aphonia, aphagia and facial tingling following intrathecal administration of fentanyl. Anesthesia, Essays and Researches, 8(1), 93.
Gupta, Babita, et al. "Transient aphonia, aphagia and facial tingling following intrathecal administration of fentanyl." Anesthesia, Essays and Researches 8.1 (2014): 93.
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Comparison of the effects of ketamine or lidocaine on fentanyl-induced cough in patients undergoing surgery: A prospective, double-blind, randomized, placebo-controlled study.

Current therapeutic research, clinical and experimental

Guler G, Aksu R, Bicer C, Tosun Z, Boyaci A.
PMID: 24688150
Curr Ther Res Clin Exp. 2010 Oct;71(5):289-97. doi: 10.1016/j.curtheres.2010.10.004.

BACKGROUND: Fentanyl-induced cough is common but has not been viewed as a serious anesthetic problem. However, the cough may be explosive at times, may require immediate intervention, and may be associated with undesirable increases in intracranial, intraocular, and intra-abdominal...

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Guler G, Aksu R, Bicer C, et al. Comparison of the effects of ketamine or lidocaine on fentanyl-induced cough in patients undergoing surgery: A prospective, double-blind, randomized, placebo-controlled study. Curr Ther Res Clin Exp. 2010;71(5):289-97doi: 10.1016/j.curtheres.2010.10.004.
Guler, G., Aksu, R., Bicer, C., Tosun, Z., & Boyaci, A. (2010). Comparison of the effects of ketamine or lidocaine on fentanyl-induced cough in patients undergoing surgery: A prospective, double-blind, randomized, placebo-controlled study. Current therapeutic research, clinical and experimental, 71(5), 289-97. https://doi.org/10.1016/j.curtheres.2010.10.004
Guler, Gülen, et al. "Comparison of the effects of ketamine or lidocaine on fentanyl-induced cough in patients undergoing surgery: A prospective, double-blind, randomized, placebo-controlled study." Current therapeutic research, clinical and experimental vol. 71,5 (2010): 289-97. doi: https://doi.org/10.1016/j.curtheres.2010.10.004
Guler G, Aksu R, Bicer C, Tosun Z, Boyaci A. Comparison of the effects of ketamine or lidocaine on fentanyl-induced cough in patients undergoing surgery: A prospective, double-blind, randomized, placebo-controlled study. Curr Ther Res Clin Exp. 2010 Oct;71(5):289-97. doi: 10.1016/j.curtheres.2010.10.004. PMID: 24688150; PMCID: PMC3969624.
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Neuraxial opioids as analgesia in labour, caesarean section and hysterectomy: A questionnaire survey in Sweden.

F1000Research

Hein A, Gillis-Haegerstrand C, Jakobsson JG.
PMID: 28435667
F1000Res. 2017 Feb 13;6:133. doi: 10.12688/f1000research.10705.2. eCollection 2017.

No abstract available.

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Hein A, Gillis-Haegerstrand C, Jakobsson JG. Neuraxial opioids as analgesia in labour, caesarean section and hysterectomy: A questionnaire survey in Sweden. F1000Res. 2017;6:133doi: 10.12688/f1000research.10705.2.
Hein, A., Gillis-Haegerstrand, C., & Jakobsson, J. G. (2017). Neuraxial opioids as analgesia in labour, caesarean section and hysterectomy: A questionnaire survey in Sweden. F1000Research, 6133. https://doi.org/10.12688/f1000research.10705.2
Hein, Anette, et al. "Neuraxial opioids as analgesia in labour, caesarean section and hysterectomy: A questionnaire survey in Sweden." F1000Research vol. 6 (2017): 133. doi: https://doi.org/10.12688/f1000research.10705.2
Hein A, Gillis-Haegerstrand C, Jakobsson JG. Neuraxial opioids as analgesia in labour, caesarean section and hysterectomy: A questionnaire survey in Sweden. F1000Res. 2017 Feb 13;6:133. doi: 10.12688/f1000research.10705.2. eCollection 2017. PMID: 28435667; PMCID: PMC5381617.
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Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study.

Anesthesia, essays and researches

Seetharam KR, Bhat G.
PMID: 26417123
Anesth Essays Res. 2015 May-Aug;9(2):173-7. doi: 10.4103/0259-1162.152149.

BACKGROUND: The addition of fentanyl to ropivacaine has shown to improve the quality of analgesia without compromising its benefits such as early mobilization and early voiding.AIM: The aim of the study was to evaluate the effects of the isobaric...

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Seetharam KR, Bhat G. Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study. Anesth Essays Res. 2015;9(2):173-7doi: 10.4103/0259-1162.152149.
Seetharam, K. R., & Bhat, G. (2015). Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study. Anesthesia, essays and researches, 9(2), 173-7. https://doi.org/10.4103/0259-1162.152149
Seetharam, Kaushik Rao, and Bhat, Gayathri. "Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study." Anesthesia, essays and researches vol. 9,2 (2015): 173-7. doi: https://doi.org/10.4103/0259-1162.152149
Seetharam KR, Bhat G. Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study. Anesth Essays Res. 2015 May-Aug;9(2):173-7. doi: 10.4103/0259-1162.152149. PMID: 26417123; PMCID: PMC4563964.
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A case of overdose via tattoo.

Journal of the Intensive Care Society

Borg R, Ashton A.
PMID: 28979422
J Intensive Care Soc. 2015 Aug;16(3):253-256. doi: 10.1177/1751143715574509. Epub 2015 Feb 23.

Transdermal fentanyl patches are used frequently for the management of both acute and chronic pain. Adverse events with their use, in particular overdose, are not uncommon. We describe a case of fentanyl overdose from transdermal patch placed over a...

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Borg R, Ashton A. A case of overdose via tattoo. J Intensive Care Soc. 2015;16(3):253-256doi: 10.1177/1751143715574509.
Borg, R., & Ashton, A. (2015). A case of overdose via tattoo. Journal of the Intensive Care Society, 16(3), 253-256. https://doi.org/10.1177/1751143715574509
Borg, Roberta, and Ashton, Antony. "A case of overdose via tattoo." Journal of the Intensive Care Society vol. 16,3 (2015): 253-256. doi: https://doi.org/10.1177/1751143715574509
Borg R, Ashton A. A case of overdose via tattoo. J Intensive Care Soc. 2015 Aug;16(3):253-256. doi: 10.1177/1751143715574509. Epub 2015 Feb 23. PMID: 28979422; PMCID: PMC5606438.
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Double blind comparison of combination of 0.1% ropivacaine and fentanyl to combination of 0.1% bupivacaine and fentanyl for extradural analgesia in labour.

Journal of anaesthesiology, clinical pharmacology

Bawdane KD, Magar JS, Tendolkar BA.
PMID: 27006539
J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):38-43. doi: 10.4103/0970-9185.173350.

BACKGROUND AND AIMS: Ropivacaine is considered as a safe alternative to bupivacaine for labor analgesia. The aim was to compare epidural ropivacaine and bupivacaine in intermittent doses for obstetric analgesia.MATERIAL AND METHODS: In this prospective, randomized, double-blind study, 60...

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Bawdane KD, Magar JS, Tendolkar BA. Double blind comparison of combination of 0.1% ropivacaine and fentanyl to combination of 0.1% bupivacaine and fentanyl for extradural analgesia in labour. J Anaesthesiol Clin Pharmacol. 2016;32(1):38-43doi: 10.4103/0970-9185.173350.
Bawdane, K. D., Magar, J. S., & Tendolkar, B. A. (2016). Double blind comparison of combination of 0.1% ropivacaine and fentanyl to combination of 0.1% bupivacaine and fentanyl for extradural analgesia in labour. Journal of anaesthesiology, clinical pharmacology, 32(1), 38-43. https://doi.org/10.4103/0970-9185.173350
Bawdane, Kishori Dhaku, et al. "Double blind comparison of combination of 0.1% ropivacaine and fentanyl to combination of 0.1% bupivacaine and fentanyl for extradural analgesia in labour." Journal of anaesthesiology, clinical pharmacology vol. 32,1 (2016): 38-43. doi: https://doi.org/10.4103/0970-9185.173350
Bawdane KD, Magar JS, Tendolkar BA. Double blind comparison of combination of 0.1% ropivacaine and fentanyl to combination of 0.1% bupivacaine and fentanyl for extradural analgesia in labour. J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):38-43. doi: 10.4103/0970-9185.173350. PMID: 27006539; PMCID: PMC4784211.
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Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries.

Journal of anaesthesiology, clinical pharmacology

Jain D, Bala I, Gandhi K.
PMID: 27006543
J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):59-64. doi: 10.4103/0970-9185.173349.

BACKGROUND: Videolaryngoscopes are increasingly being used in potentially difficult airway. McCoy laryngoscope provides definitive advantage over conventional laryngoscopes in cervical spine patients. The aim of this study was to compare the performance of the CMAC(®) videolaryngoscope with the McCoy...

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Jain D, Bala I, Gandhi K. Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries. J Anaesthesiol Clin Pharmacol. 2016;32(1):59-64doi: 10.4103/0970-9185.173349.
Jain, D., Bala, I., & Gandhi, K. (2016). Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries. Journal of anaesthesiology, clinical pharmacology, 32(1), 59-64. https://doi.org/10.4103/0970-9185.173349
Jain, Divya, et al. "Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries." Journal of anaesthesiology, clinical pharmacology vol. 32,1 (2016): 59-64. doi: https://doi.org/10.4103/0970-9185.173349
Jain D, Bala I, Gandhi K. Comparative effectiveness of McCoy laryngoscope and CMAC(®) videolaryngoscope in simulated cervical spine injuries. J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):59-64. doi: 10.4103/0970-9185.173349. PMID: 27006543; PMCID: PMC4784216.
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Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy.

Journal of clinical and diagnostic research : JCDR

Kumar P, Kaur T, Atwal GK, Bhupal JS, Basra AK.
PMID: 28893016
J Clin Diagn Res. 2017 Jul;11(7):UC21-UC24. doi: 10.7860/JCDR/2017/26479.10220. Epub 2017 Jul 01.

INTRODUCTION: Awake nasal or oral flexible fiberoptic intubation is the airway management technique of choice in known or anticipated difficult airway, unstable cervical fracture, limited mouth opening (as in temporomandibular joint disease), mandibular-maxillary fixation and severe facial burns. Both...

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Kumar P, Kaur T, Atwal GK, et al. Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy. J Clin Diagn Res. 2017;11(7):UC21-UC24doi: 10.7860/JCDR/2017/26479.10220.
Kumar, P., Kaur, T., Atwal, G. K., Bhupal, J. S., & Basra, A. K. (2017). Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy. Journal of clinical and diagnostic research : JCDR, 11(7), UC21-UC24. https://doi.org/10.7860/JCDR/2017/26479.10220
Kumar, Parmod, et al. "Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy." Journal of clinical and diagnostic research : JCDR vol. 11,7 (2017): UC21-UC24. doi: https://doi.org/10.7860/JCDR/2017/26479.10220
Kumar P, Kaur T, Atwal GK, Bhupal JS, Basra AK. Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy. J Clin Diagn Res. 2017 Jul;11(7):UC21-UC24. doi: 10.7860/JCDR/2017/26479.10220. Epub 2017 Jul 01. PMID: 28893016; PMCID: PMC5583785.
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The Analgesic Efficacy of Intrathecal Bupivacaine and Fentanyl with Added Neostigmine or Magnesium Sulphate.

Anesthesiology and pain medicine

Mokaram Dori M, Foruzin F.
PMID: 28975069
Anesth Pain Med. 2016 Sep 18;6(6):e9651. doi: 10.5812/aapm.9651. eCollection 2016 Dec.

BACKGROUND: An appropriate anesthesia duration with minimal side effects and prolonged postoperative analgesia are the ideal characteristics of an intrathecal drug used during spinal anesthesia. Neostigmine and magnesium sulphate have been used as spinal anesthetic additives with narcotics and...

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Mokaram Dori M, Foruzin F. The Analgesic Efficacy of Intrathecal Bupivacaine and Fentanyl with Added Neostigmine or Magnesium Sulphate. Anesth Pain Med. 2016;6(6):e9651doi: 10.5812/aapm.9651.
Mokaram Dori, M., & Foruzin, F. (2016). The Analgesic Efficacy of Intrathecal Bupivacaine and Fentanyl with Added Neostigmine or Magnesium Sulphate. Anesthesiology and pain medicine, 6(6), e9651. https://doi.org/10.5812/aapm.9651
Mokaram Dori, Mehrdad, and Foruzin, Farid. "The Analgesic Efficacy of Intrathecal Bupivacaine and Fentanyl with Added Neostigmine or Magnesium Sulphate." Anesthesiology and pain medicine vol. 6,6 (2016): e9651. doi: https://doi.org/10.5812/aapm.9651
Mokaram Dori M, Foruzin F. The Analgesic Efficacy of Intrathecal Bupivacaine and Fentanyl with Added Neostigmine or Magnesium Sulphate. Anesth Pain Med. 2016 Sep 18;6(6):e9651. doi: 10.5812/aapm.9651. eCollection 2016 Dec. PMID: 28975069; PMCID: PMC5560647.
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Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial.

World journal of emergency medicine

Farnia MR, Babaei R, Shirani F, Momeni M, Hajimaghsoudi M, Vahidi E, Saeedi M.
PMID: 27006734
World J Emerg Med. 2016;7(1):25-9. doi: 10.5847/wjem.j.1920-8642.2016.01.004.

BACKGROUND: Numerous drugs have been proposed to alleviate pain in patients with biliary colic, especially opioids, but still there is a tendency to use less narcotics because of their side effects and the unwillingness of some patients. The present...

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Farnia MR, Babaei R, Shirani F, et al. Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial. World J Emerg Med. 2016;7(1):25-9doi: 10.5847/wjem.j.1920-8642.2016.01.004.
Farnia, M. R., Babaei, R., Shirani, F., Momeni, M., Hajimaghsoudi, M., Vahidi, E., & Saeedi, M. (2016). Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial. World journal of emergency medicine, 7(1), 25-9. https://doi.org/10.5847/wjem.j.1920-8642.2016.01.004
Farnia, Mohammad Reza, et al. "Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial." World journal of emergency medicine vol. 7,1 (2016): 25-9. doi: https://doi.org/10.5847/wjem.j.1920-8642.2016.01.004
Farnia MR, Babaei R, Shirani F, Momeni M, Hajimaghsoudi M, Vahidi E, Saeedi M. Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial. World J Emerg Med. 2016;7(1):25-9. doi: 10.5847/wjem.j.1920-8642.2016.01.004. PMID: 27006734; PMCID: PMC4786494.
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Effects of biogenic amines and intravenous anesthetics on the activity of rat locus coeruleus neurons in vitro.

Journal of anesthesia

Ohta Y, Yamamura T, Santos Alojado E, Kemmotsu O.
PMID: 28921147
J Anesth. 1994 Jun;8(2):213-218. doi: 10.1007/BF02514716.

To examine the effects of biogenic amines and clinically relevant concentrations of intravenous anesthetics on neuronal activities, the authors analyzed both spontaneous and evoked activities of neurons in the nucleus locus coeruleus (LC)in vitro using a single unit recording...

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Ohta Y, Yamamura T, Santos Alojado E, et al. Effects of biogenic amines and intravenous anesthetics on the activity of rat locus coeruleus neurons in vitro. J Anesth. 1994;8(2):213-218doi: 10.1007/BF02514716.
Ohta, Y., Yamamura, T., Santos Alojado, E., & Kemmotsu, O. (1994). Effects of biogenic amines and intravenous anesthetics on the activity of rat locus coeruleus neurons in vitro. Journal of anesthesia, 8(2), 213-218. https://doi.org/10.1007/BF02514716
Ohta, Yoshihiro, et al. "Effects of biogenic amines and intravenous anesthetics on the activity of rat locus coeruleus neurons in vitro." Journal of anesthesia vol. 8,2 (1994): 213-218. doi: https://doi.org/10.1007/BF02514716
Ohta Y, Yamamura T, Santos Alojado E, Kemmotsu O. Effects of biogenic amines and intravenous anesthetics on the activity of rat locus coeruleus neurons in vitro. J Anesth. 1994 Jun;8(2):213-218. doi: 10.1007/BF02514716. PMID: 28921147.
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Intrathecal buprenorphine versus fentanyl as adjuvant to 0.75% ropivacaine in lower limb surgeries.

Journal of anaesthesiology, clinical pharmacology

Singh AP, Kaur R, Gupta R, Kumari A.
PMID: 27275055
J Anaesthesiol Clin Pharmacol. 2016 Apr-Jun;32(2):229-33. doi: 10.4103/0970-9185.182107.

BACKGROUND AND AIMS: This study aims to compare the anesthesia characteristics between buprenorphine and fentanyl when added as an adjuvant to intrathecal ropivaciane in an attempt to prolong the duration of spinal anesthesia.MATERIAL AND METHODS: The present prospective double-blind...

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Singh AP, Kaur R, Gupta R, et al. Intrathecal buprenorphine versus fentanyl as adjuvant to 0.75% ropivacaine in lower limb surgeries. J Anaesthesiol Clin Pharmacol. 2016;32(2):229-33doi: 10.4103/0970-9185.182107.
Singh, A. P., Kaur, R., Gupta, R., & Kumari, A. (2016). Intrathecal buprenorphine versus fentanyl as adjuvant to 0.75% ropivacaine in lower limb surgeries. Journal of anaesthesiology, clinical pharmacology, 32(2), 229-33. https://doi.org/10.4103/0970-9185.182107
Singh, Arvinder Pal, et al. "Intrathecal buprenorphine versus fentanyl as adjuvant to 0.75% ropivacaine in lower limb surgeries." Journal of anaesthesiology, clinical pharmacology vol. 32,2 (2016): 229-33. doi: https://doi.org/10.4103/0970-9185.182107
Singh AP, Kaur R, Gupta R, Kumari A. Intrathecal buprenorphine versus fentanyl as adjuvant to 0.75% ropivacaine in lower limb surgeries. J Anaesthesiol Clin Pharmacol. 2016 Apr-Jun;32(2):229-33. doi: 10.4103/0970-9185.182107. PMID: 27275055; PMCID: PMC4874080.
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