DELAYED EMERGENCE FROM ANESTHESIA ASSOCIATED WITH UNDIAGNOSED CENTRAL SLEEP APNEA SYNDROME

Yıl 2014, Cilt: 5 Sayı: 18, 46 - 52, 03.03.2015

İşıl Davarcı Celalettin Dağlı Murat Karcıoğlu Kasım Tuzcu Selim Turhanoğlu

https://doi.org/10.17944/mkutfd.94358

Öz

Delayed awakening from anesthesia is often multifactorial including residual anesthetic drugs, excessive reaction to narcotics and sedatives, residual neuromuscular blockade and duration of surgery. Hypercapnic central sleep apnea syndrome is often encountered at central hypoventilation syndromes which may be secondary to other diseases that cause respiratory centre dysfunction. In this case, 36 years, which had operated from pontine cavernomas seven years ago, delayed awakening and unanticipated respiratory complications following general anesthesia after pilonidal sinus surgery was reported. This disorder may be due to central sleep apnea syndrome in a patient without previous diagnosis. He was referred to the sleep laboratory in aspect of the differential diagnosis. The patient was diagnosed as central sleep apnea syndrome and home device for CPAP was recommended. The patient who had a history of brainstem surgery should be taken into consideration for the candidate of central sleep apnea syndrome, and a meticulous evaluation should be done before surgery.

Anahtar Kelimeler

DELAYED, EMERGENCE, ANESTHESIA

DELAYED EMERGENCE FROM ANESTHESIA ASSOCIATED WITH UNDIAGNOSED CENTRAL SLEEP APNEA SYNDROME

Öz

Delayed awakening from anesthesia is often multifactorial including residual anesthetic drugs, excessive reaction to narcotics and sedatives, residual neuromuscular blockade and duration of surgery. Hypercapnic central sleep apnea syndrome is often encountered at central hypoventilation syndromes which may be secondary to other diseases that cause respiratory centre dysfunction. In this case, 36 years, which had operated from pontine cavernomas awakening complications following general anesthesia after pilonidal sinus surgery was reported. This disorder may be due to central sleep apnea syndrome in a patient without previous diagnosis. He was referred to the sleep laboratory in aspect of the differential diagnosis. The patient was diagnosed as central sleep apnea syndrome and home device for CPAP was recommended. The patient who had a history of brainstem surgery should be taken into consideration for the candidate of central sleep apnea syndrome, and a meticulous evaluation should be done before surgery

Anahtar Kelimeler

DELAYED, EMERGENCE, ANESTHESIA

Kaynakça

• Mahmoud M, Bryan Y, Gunter J, Kreeger RN, Sadhasivam S. Anesthetic implications of
• undiagnosed late onset central hypoventilation syndrome in a child: from elective
• tonsillectomy to tracheostomy. Paediatr Anaesth 2007; 17: 1001-5.
• Kokturk O, Ciftci TU. [Central sleep apnea syndrome]. Tuberk Toraks 2003; 51: 349-60.
• Chowdhuri S, Badr MS. Central sleep apnoea. Indian J Med Res; 131: 150-64.
• Douglas JH, 3rd, Ross JD, Bruce DL. Delayed awakening due to lidocaine overdose. J
• Clin Anesth 1990; 2: 126-8.
• Jones MJ. The influence of anesthetic methods on mental function. Acta Chir Scand Suppl
• ; 550: 169-75; discussion 75-6.
• Kalra S, Wadhwa R. Role of amino acid infusion in delayed recovery from neuromuscular
• blockers. Indian J Anaesth; 54: 166-8.
• Sinclair C, Faleiro R. Delayed recovery of consciousness after anaesthesia Contin Educ
• Anaesth Crit Care Pain 2006; 6: 114-8.
• Ho HT, Thajeb P, Lin CC. Ondine's curse in a patient with unilateral medullary and
• bilateral cerebellar infarctions. J Chin Med Assoc 2005; 68: 531-4.
• Wiesel S, Fox GS. Anaesthesia for a patient with central alveolar hypoventilation
• syndrome (Ondine's Curse). Can J Anaesth 1990; 37: 122-6.
• Lamarche Y, Martin R, Reiher J, Blaise G. The sleep apnoea syndrome and epidural
• morphine. Can Anaesth Soc J 1986; 33: 231-3.