J Korean Med Sci.  2002 Oct;17(5):715-717. 10.3346/jkms.2002.17.5.715.

Acute Dystonia by Droperidol during Intravenous Patient-Controlled Analgesia in Young Patients

Affiliations
  • 1Department of Anesthesiology, Eulji University School of Medicine, Daejon, Korea. pck@emc.eulji.ac.kr

Abstract

Patient-controlled analgesia (PCA) is an important means for postoperative analgesia with parenteral opioid. However, postoperative nausea and vomiting (PONV) remains a major problem with a PCA system. Droperidol is used in PCA to prevent PONV. Extrapyramidal reactions by droperidol are, however, occasionally induced. We describe two cases of severe extrapyramidal hypertonic syndrome with an intravenous administration of droperidol in PCA in young patients, following orthopedic surgery.

Keyword

Analgesics; Fentanyl; Antiemetics; Droperidol; Complication; Dystonia

MeSH Terms

Acute Disease
Adolescent
Analgesia, Patient-Controlled/*adverse effects
Analgesics/administration & dosage/*adverse effects
Droperidol/administration & dosage/*adverse effects
Dystonia/*chemically induced
Humans
Infusions, Intravenous
Male
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