Convulsions after enflurane in a schizophrenic patient receiving neuroleptics

Vohra, S. B.

doi:10.1007/bf03009865

Cited by 12 publications

(4 citation statements)

References 12 publications

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“…All volatile agents are safe. However, enflurane, an older agent, carries a higher risk for hypotension, arrhythmia and seizure ( 26 , 27 ). Anesthesia can be maintained with either volatile agents or total intravenous techniques ( 15 ).…”

Section: General Anesthesiamentioning

confidence: 99%

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

et al. 2021

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: Schizophrenia is ranked among the top 10 global burdens of disease. About 1% of people meet the diagnostic criteria for this disorder over their lifetime. Schizophrenic patients can develop cataract, particularly related to age and medications, requiring surgery and anesthesia. Many concerning factors, including cognitive function, anxiety, behavioral issues, poor cooperation and paroxysmal movements, may lead to general anesthesia as the default method. Antipsychotic agents should be continued during the perioperative period if possible. Topical/regional anesthesia is suitable in most schizophrenic patients undergoing cataract surgery. It reduces potential drug interactions and many postoperative complications; however, appropriate patient selection is paramount to its success. General anesthesia remains the primary technique for patients who are considered unsuitable for the topical/regional technique. Early involvement of a psychiatrist in the perioperative period, especially for patients requiring general anesthesia, is beneficial but often under-utilized. This narrative review summarizes the anesthetic considerations for cataract surgery in patients with schizophrenia.

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Section: General Anesthesiamentioning

confidence: 99%

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

et al. 2021

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“…Therefore, normothermia should be maintained by adequate warming. All inhalational anaesthetic agents are relatively safe with the exception of enflurane, which carries a higher risk of hypotension, arrhythmias, seizures and malignant hyperthermia in schizophrenic patients who are taking antipsychotics 19. All routinely using intravenous induction anaesthetic agents are acceptable in patients except ketamine as it may cause prolong hallucinations and delirium after surgery 20.…”

Section: Discussionmentioning

confidence: 99%

Schizophrenia and anaesthesia

et al. 2017

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Administering anaesthesia for elderly patients with chronic schizophrenia has always been a great challenge to anaesthetists. These patients will usually be on multiple antipsychotic drugs for many years and may lead to delayed awakening, cardiovascular instability, arrhythmias and sudden cardiac death during general anaesthesia. This case report is about the perioperative anaesthetic management of an elderly schizophrenic patient undergoing removal of femur implant. This article will explore important drug interactions and available options for a successful anaesthesia.

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“…У пациентов, принимающих антипсихотические препараты, не рекомендуется использовать изофлуран, десфлуран и изолированное введение кетамина, чтобы не провоцировать развитие судорожных реакций в послеоперационный период [100] (УДД -3, УУР -В). [108]. По тем же причинам рекомендуют избегать изолированного использования кетамина [2,63].…”

Section: профилактика судорогunclassified

Perioperative management of patients with mental illness. Guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists”

Zabolotskikh

Грицан

Лебединский

et al. 2021

Annals of Critical Care

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Психические расстройства у лиц старше 18 лет достаточно распространены и представлены довольно обширным списком заболеваний. У пациентов с подобной патологией также возникает необходимость проведения вмешательств и манипуляций в условиях анестезии. В статье представлены принципы ведения периоперационного периода у больных с наиболее распространенными психическими заболеваниями -аффективные расстройства, шизофрения, биполярное расстройство, тревожные расстройства, поведенческие синдромы, связанные с физиологическими нарушениями (булимия, анорексия). Отражены профилактика рецидивов психического забо-

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Convulsions after enflurane in a schizophrenic patient receiving neuroleptics

Cited by 12 publications

References 12 publications

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

Schizophrenia and anaesthesia

Perioperative management of patients with mental illness. Guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists”

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