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

  • Muhammad Saad Yousuf Aga Khan University Hospital, Karachi Pakistan
  • Syed Shabbir Ahmed Aga Khan University Hospital, Karachi Pakistan
  • Khalid Samad Aga Khan University Hospital, Karachi Pakistan
Keywords: Cisatracurium, Difficult endotracheal intubation, Masseter muscle spasm, Temporomandibular joint

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.

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Published
2021-08-26
How to Cite
Yousuf, M. S., Shabbir Ahmed, S., & Samad, K. (2021). CIS-ATRACURIUM WITH MASSETER MUSCLE SPASM: AN UNANTICIPATED DIFFICULT ENDOTRACHEAL INTUBATION AND TEMPOROMANDIBULAR JOINT DISPLACEMENT: A CASE REPORT. PAFMJ, 71(4), 1501-03. https://doi.org/10.51253/pafmj.v71i4.4157
Section
Case Reports