Korean J Anesthesiol.  1999 Jan;36(1):165-168. 10.4097/kjae.1999.36.1.165.

Delirium after Combined Epidural-General Anesthesia in a Elderly Patient: A case report

Affiliations
  • 1Department 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.

Keyword

Analgesia, postoperative, epidural; Anesthesia, general, geriatricComplication, delirium; Complication, delirium

MeSH Terms

Aged*
Anesthesia*
Antipsychotic Agents
Bupivacaine
Consciousness
Delirium*
Fentanyl
Humans
Pain, Postoperative
Psychotherapy
Antipsychotic Agents
Bupivacaine
Fentanyl
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