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. |
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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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