Savage G J, Metzger J T
Plast Reconstr Surg. 1978 Jul;62(1):81-4. doi: 10.1097/00006534-197807000-00011.
We recommend the use of one dose of physostigmine salicylate, a few minutes before the termination of a general anesthetic, to prevent confusion, struggling, disorientation, or delirium during the recovery from anesthesia. We believe that it is well to prevent such behavior, particularly in patients who have just undergone reconstructive surgery where the unmanageable behavior could jeopardize surgical results. Our results indicate that such behavior is largely preventable.
我们建议在全身麻醉即将结束前几分钟使用一剂水杨酸毒扁豆碱，以防止麻醉苏醒期间出现意识混乱、挣扎、定向障碍或谵妄。我们认为预防此类行为是有必要的，尤其是对于刚接受重建手术的患者，因为这种难以控制的行为可能会危及手术效果。我们的结果表明，此类行为在很大程度上是可以预防的。
