Delirium after Combined Epidural-General Anesthesia in a Elderly Patient: A case report.
10.4097/kjae.1999.36.1.165
- Author:
Yun Jin KIM
1
;
Jong Hak KIM
;
Chi Hyo KIM
;
Choon Hi LEE
Author Information
1. Department of Anesthesiology, College of Medicine, Ewha Womans University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Analgesia, postoperative, epidural;
Anesthesia, general, geriatricComplication, delirium;
Complication, delirium
- MeSH:
Aged*;
Anesthesia*;
Antipsychotic Agents;
Bupivacaine;
Consciousness;
Delirium*;
Fentanyl;
Humans;
Pain, Postoperative;
Psychotherapy
- From:Korean Journal of Anesthesiology
1999;36(1):165-168
- CountryRepublic of Korea
- Language:Korean
-
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.
