Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: a case report

  • Muhamad Rafiqi Hehsan
  • Wan Fadzlina Wan Muhd Shukeri
Keywords: Febrile seizure, Opioids, Benzodiazepine, Withdrawal, Post-operative, Airways

Abstract

The sedoanalgesic drugs frequently have to be administered to relieve pain and anxiety of patients in intensive care units (ICU). An ideal agent would be rapidly metabolized, and facilitate desirable level of sedation without compromising hemodynamic and respiratory function. This makes opioids and benzodiazepines to be the most commonly prescribed drugs in intensive care. However, weaning off from these drugs may be associated with withdrawal effects. We present a case report of febrile seizure following airway pediatric surgery and opiate and benzodiazepine discontinuation. The weaning off process from these drugs should be meticulously done especially in pediatric age group to avoid subsequent complications.

Key words: Febrile seizure; Opioids; Benzodiazepine; Withdrawal; Post-operative; Airways

Abbreviations: PICU - Pediatric intensive care unit; IWS - Iatrogenic withdrawal syndrome

Citation: Hehsan MR, Shukeri WFWM. Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: a case report. Anaesth. pain intensive care 2021;25(6):804–806:

DOI: 10.35975/apic.v25i6.1709

Received: September 10, 2021, Reviewed: September 18, 2021, Accepted: October 25, 2021

Author Biographies

Muhamad Rafiqi Hehsan

Department of Anaesthesiology & Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800, Nilai, Negeri Sembilan, Malaysia.

Wan Fadzlina Wan Muhd Shukeri

Department of Anaesthesiology & Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Published
12-12-2021
How to Cite
Hehsan, M., & Muhd Shukeri, W. (2021). Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: a case report. Anaesthesia, Pain & Intensive Care, 25(6), 804-806. https://doi.org/10.35975/apic.v25i6.1709
Section
Case Reports