一位既往多次发生麻醉后监护病房谵妄患者的麻醉管理：病例报告
Anesthetic Management of a Patient With Multiple Previous Episodes of Postanesthesia Care Unit Delirium: A Case Report.
作者信息
Kreuzer Matthias, Whalin Matthew K, Hesse September D W, Riso Margaret A, García Paul S
机构信息
From the *Department of Anesthesiology, Emory University, Atlanta, Georgia; †Department of Anesthesiology & Perioperative Care, University of California, Irvine, California; and ‡Department of Anesthesiology, Atlanta VA Medical Center, Decatur, Georgia.
出版信息
A A Case Rep. 2017 Jun 15;8(12):311-315. doi: 10.1213/XAA.0000000000000497.
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 α-band activity similar to that of an elderly patient who may reflect a greater risk of PACU delirium.
我们报告了一名37岁女性患者的病例，该患者在行人与汽车相撞事故后接受了22次手术。她参加了一项关于麻醉苏醒的临床研究。在她的22次手术中的10次手术中，我们使用混乱评估方法在麻醉后护理单元（PACU）评估了她的认知状态。我们观察到，在患者接受七氟醚的所有4例病例中均出现了PACU谵妄，但在她接受丙泊酚的6例病例中仅1例出现。该患者的脑电图α波活动与老年患者相似，这可能反映出PACU谵妄的风险更高。
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