Respiratory Arrest During Monitored Anaesthesia Care

Abstract

We report a 72 year-old, American Society of Anaesthesiologist Class II(ASA II), male patient scheduled for burr hole and evacuation for Chronic Sub Dural Haematoma. He went into a 70 minute apnea and complete muscle paralysis after receiving midazolam(1.0 mg) and fentanyl (50 μg) intravenously for sedation and analgaesia necessitating respiratory support until recovery . Conclusion : Midazolam and fentanyl should be used with utmost caution in elderly as combination of both can lead to respiratory arrest necessitating respiratory support until full recovery