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

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