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Korean Journal of Anesthesiology 1999;36(1):165-168.
DOI: https://doi.org/10.4097/kjae.1999.36.1.165   
Delirium after Combined Epidural-General Anesthesia in a Elderly Patient: A case report.
Yun Jin Kim, Jong Hak Kim, Chi Hyo Kim, Choon Hi Lee
Department of Anesthesiology, College of Medicine, Ewha Womans University, Seoul, Korea.
Abstract
Postoperative delirium is defined as an acute change with cognitive status characterized by fluctuating consciousness and unattention occurring within 30 days after operation. Postoperative delirium is a common complication of surgery in elderly people, but have been often unrecognized, under-diagnosed, under-treated, and under-investigated. We present a case of postoperative delirium in elderly patient who should have been treated with psychotherapy and antipsychotic drugs in psychiatric department after combined epidural-general anesthesia with continuous epidural bupivacaine and fentanyl infusion for postoperative pain control.
Key Words: Analgesia, postoperative, epidural; Anesthesia, general, geriatricComplication, delirium; Complication, delirium


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