An 87yo woman s/p hysterectomy under general anesthesia is confused, combative,
and disoriented. She received no premedication, 4 mg of morphine during
the case, and was anesthetised with sevoflurane and nitrous oxide.
- What is your differential
- How do you differentiate
between the many causes of delirium in this patient?
- What is physostigmine, how
does it work, and what is the dose?
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)
- A nice reference from a nursing journal that summarizes
the problem well.
Last updated 6/9/03
by Roy G. Soto, M.D.
2003, Roy G. Soto, M.D., and the University of South Florida College of Medicine,
Department of Anesthesiology