Read Matthew D, Maani Christopher V, Blackwell Scott
From the Department of Anesthesiology, San Antonio Military Medical Center, Joint Base San Antonio Fort Sam Houston, Texas.
A A Case Rep. 2017 Jul 1;9(1):20-23. doi: 10.1213/XAA.0000000000000510.
Emergence delirium (ED) in adult patients encountered in the postanesthesia care unit (PACU) is not well studied; nor are ED treatment strategies. Similar to delirium in the intensive care unit, ED in the PACU can result in serious complications. We describe 3 cases of ED in the PACU in patients with a history of posttraumatic stress disorder who were successfully treated with dexmedetomidine. Although likely utilized more frequently in recent years, the use of dexmedetomidine in the PACU for treatment of ED is not established in the literature. Further research regarding treatment of ED in adults is necessary, allowing for optimization of patient care and improvement in patient outcomes.
对于麻醉后护理单元（PACU）中成年患者出现的苏醒期谵妄（ED），目前研究较少；ED的治疗策略也未得到充分研究。与重症监护病房中的谵妄相似，PACU中的ED可导致严重并发症。我们描述了3例有创伤后应激障碍病史的患者在PACU中发生ED并成功接受右美托咪定治疗的病例。尽管近年来右美托咪定在PACU中的使用可能更为频繁，但文献中尚未确立其用于治疗PACU中ED的地位。有必要对成人ED的治疗进行进一步研究，以优化患者护理并改善患者预后。
