Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/22419
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dc.contributor.authorLink, J.en
dc.contributor.authorPapadopoulos, G.en
dc.contributor.authorDopjans, D.en
dc.contributor.authorGuggenmoos-Holzmann, I.en
dc.contributor.authorEyrich, K.en
dc.date.accessioned2015-11-24T19:24:06Z-
dc.date.available2015-11-24T19:24:06Z-
dc.identifier.issn0265-0215-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22419-
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAnesthesia Recovery Perioden
dc.subjectAnesthesia, General/*adverse effectsen
dc.subjectCentral Nervous System Diseases/*chemically induced/diagnosis/drug therapyen
dc.subjectCholinergic Antagonists/*adverse effectsen
dc.subjectCholinesterase Inhibitors/therapeutic useen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPhysostigmine/therapeutic useen
dc.subjectPostoperative Complicationsen
dc.subjectProspective Studiesen
dc.subjectSyndromeen
dc.titleDistinct central anticholinergic syndrome following general anaesthesiaen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/9049553-
heal.identifier.secondaryhttp://journals.cambridge.org/download.php?file=%2FEJA%2FEJA14_01%2FS0265021597000045a.pdf&code=a58dde0fbcf25f4b13924f0d065b8fde-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate1997-
heal.abstractThe purpose of this prospective study was to identify the incidence of a distinct central anticholinergic syndrome following routine anaesthesia. For 2 months, all inpatients aged more than 15 years scheduled for elective procedures and cared for in the recovery room were investigated for symptoms of the syndrome. Patients with neuropsychiatric disease or other disorders that could alter consciousness were excluded. Prolonged action of anaesthetics or relaxants, respiratory depression and metabolic disorder were ruled out before making the diagnosis. Out of 962 patients (366 men, 596 women), 18 (4 men, 14 women) developed the syndrome. The difference between men and women was not statistically significant. Six out of 60 women developed the syndrome after a hysterectomy with or without adnectomy/oophorectomy, and this high incidence was significantly different from that observed after all other procedures in women (P = 0.003) or all other gynaecological procedures (P = 0.013). The reason for this is unknown. In six of the 18 cases, untreated prolonged somnolence lasted for more than 2 h. All patients woke up after an injection of physostigmine, but six of them relapsed into somnolence and needed a second, and in one case a third, injection. The findings of the study emphasize that, when there is delayed recovery from anaesthesia, the diagnosis of central anticholinergic syndrome should be considered if other accessible causes for that condition have been excluded.en
heal.journalNameEur J Anaesthesiolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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