Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

Hakim, Mohammed; Klingele, Kevin E.; Tumin, Dmitry; Tobias, Joseph; Bhalla, Tarun

doi:10.14740/jmc2905w

Cited by 6 publications

(6 citation statements)

References 20 publications

(38 reference statements)

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“…There are several case reports of conversion disorder presenting during the postoperative period with symptoms like paraplegia, headache, visual loss, non-epileptic seizures and hyperventilation. [3][4][5][6][7] But these patients had risk factors and occurrence of such events in the past.…”

Section: Discussionmentioning

confidence: 99%

A case of hyperventilation leading to apnea and desaturation in PACU

Thapa

Subedi

Poudel

et al. 2019

Preprint

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Background: Respiratory adverse events are not uncommon in the post-anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15-year-old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU. Case presentation: The 15-year-old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally, she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol. Conclusion: Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such cases in the PACU.

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Section: Discussionmentioning

confidence: 99%

A case of hyperventilation leading to apnea and desaturation in PACU

Thapa

Subedi

Poudel

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of Hyperventilation leading to apnea and desaturation in PACU: A root cause analysis

Thapa¹,

Subedi²,

Poudel³

et al. 2019

Preprint

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Background Respiratory adverse events are not uncommon in the post anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15 year old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU. Case presentation The 15 year old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol Conclusion Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such a case in the PACU.

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“…After ruling out all the possible causes, we suspected it to be conversion disorder, since it is more common in young females. There are several case reports of conversion disorder presenting during the postoperative period with symptoms like paraplegia, headache, visual loss, non-epileptic seizures and hyperventilation [3–7]. But these patients had risk factors and occurrence of such events in the past.…”

Section: Discussionmentioning

confidence: 99%

A case of hyperventilation leading to apnea and desaturation in PACU

et al. 2019

View full text Add to dashboard Cite

Background Respiratory adverse events are not uncommon in the post-anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15-year-old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU. Case presentation The 15-year-old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 min in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally, she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol. Conclusion Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such cases in the PACU.

show abstract

Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

Cited by 6 publications

References 20 publications

A case of hyperventilation leading to apnea and desaturation in PACU

A case of hyperventilation leading to apnea and desaturation in PACU

A Case of Hyperventilation leading to apnea and desaturation in PACU: A root cause analysis

A case of hyperventilation leading to apnea and desaturation in PACU

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