Emergence Electroencephalography in an Unresponsiveness Geriatric Patient in the Postanesthesia Care Unit: A Case Report.
| Autor: | Banerji A; From the Department of Anesthesiology, Waikato Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland, Hamilton, New Zealand., Sleigh JW; From the Department of Anesthesiology, Waikato Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland, Hamilton, New Zealand., Termaat J; Department of Anesthesia and Pain Medicine, Waikato Hospital, Hamilton, New Zealand., Voss LJ; From the Department of Anesthesiology, Waikato Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland, Hamilton, New Zealand.; Department of Anesthesia and Pain Medicine, Waikato Hospital, Hamilton, New Zealand. |
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| Jazyk: | angličtina |
| Zdroj: | A&A practice [A A Pract] 2024 Jul 08; Vol. 18 (7), pp. e01813. Date of Electronic Publication: 2024 Jul 08 (Print Publication: 2024). |
| DOI: | 10.1213/XAA.0000000000001813 |
| Abstrakt: | Incomplete neurological awakening manifested as aberrant patterns of electroencephalography (EEG) at emergence may be responsible for an unresponsive patient in the postanesthesia care unit (PACU). We describe a case of an individual who remained unresponsive but awake in the PACU. Retrospective, intraoperative EEG analysis showed low alpha power and a sudden shift from deep delta to arousal preextubation. We explored parallels with diminished motivation disorders and anesthesia-induced sleep paralysis due to imbalances in anesthetic drug sensitivity between brain regions. Our findings highlight the relevance of end-anesthesia EEG patterns in diagnosing delayed awakening. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society.) |
| Databáze: | MEDLINE |
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