A 78yo female s/p laryngoscopy/bronchoscopy is confused and somnolent.
The procedure lasted 15 minutes, she received no opiates, and was maintained/induced
with propofol only. She did, however, receive 2mg of Versed preoperatively,
after which she became heavily sedated.
- What is the differential
diagnosis for delayed emergence?
- Would you treat this patient
with flumazenil? Why or why not?
- What is the dose of flumazenil?
- What are the pharmacodynamic
and pharmacokinetic properties of flumazenil?
References: (note, all residents should have access to Anesthesiology
articles online if they receive the journal. Many other journals are
available with a USF account through MD Consult...just access it from the
departmental home page)
- Pharmacodynamic/pharmacokinetic summary (pdf file)
Last updated 5/27/03
by Roy G. Soto, M.D.
2003, Roy G. Soto, M.D., and the University of South Florida College of
Medicine, Department of Anesthesiology