Regressive quadriparesis following tracheal resection anastomosis: A rare debilitating but avoidable complication

A 24-year-old male, ASA I patient underwent an uneventful tracheal resection and primary end to end anastomosis. A guardian suture (chin to chest) was placed and the trachea extubated following which the patient was monitored in a seated position. Fentanyl citrate 0.5 μgkg−1h−1 was administered for postoperative analgesia. However (17h postoperatively), the patient complained of uneasiness in the neck along with weakness of both lower limbs (power 1/5) which rapidly progressed to involve the upper limbs too (power 2/5).
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research