Anesthetic Management of a Patient With Multiple Previous Episodes of Postanesthesia Care Unit Delirium: A Case Report
Anesthetic Management of a Patient With Multiple Previous Episodes of Postanesthesia Care Unit Delirium: A Case Report
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DOI：
10.1213/xaa.0000000000000497
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发表时间：
2017-06-15
期刊：
影响因子：
--
通讯作者：
Garcia, Paul S.
中科院分区：
文献类型：
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作者：
Kreuzer, Matthias;Whalin, Matthew K.;Garcia, Paul S.
我们报告一位37岁的女性患者，在行人与车祸后需要22次手术。她参加了一项关于麻醉苏醒的临床研究。在她22次手术中的10次中，我们使用混淆评估法评估了她在麻醉后护理病房（PACU）的认知状态。在接受七氟醚治疗的4例患者中，我们观察到PACU谵妄，但在接受异丙酚治疗的6例患者中，只有1例患者出现PACU谵妄。患者的脑电图α带活动与老年患者相似，可能反映PACU谵妄的风险更大。
We report the case of a 37-year-old female patient who required 22 surgeries following a pedestrian versus car accident. She was enrolled in a clinical study investigating emergence from anesthesia. In 10 of her 22 surgeries, we assessed her cognitive status in the postanesthesia care unit (PACU) using the Confusion Assessment Method. We observed PACU delirium in all 4 cases in which the patient received sevoflurane, but only in 1 of 6 cases in which she received propofol. The patient showed EEG alpha-band activity similar to that of an elderly patient who may reflect a greater risk of PACU delirium.