DELAYED EMERGENCE FROM ANESTHESIA ASSOCIATED WITH UNDIAGNOSED CENTRAL SLEEP APNEA SYNDROME

Abstract

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.

Keywords

• DELAYED
• EMERGENCE
• ANESTHESIA

DELAYED EMERGENCE FROM ANESTHESIA ASSOCIATED WITH UNDIAGNOSED CENTRAL SLEEP APNEA SYNDROME

Abstract

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

Keywords

• DELAYED
• EMERGENCE
• ANESTHESIA

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