[A life-threatening situation due to the central anticholinergic syndrome in a case of severe coronary disease].
This report presents a case of central anticholinergic syndrome after general anesthesia in a patient with severe coronary heart disease. Eight years ago he had had two myocardial infarctions; after undergoing a bypass operation he suffered a third one. His angina pectoris had increased over the previous 6 months. General anesthesia was required for an ear operation; it was carried out as "balanced anesthesia" without any difficulties. After extubation, however, the patient became extremely agitated. Increasing myocardial work and oxygen consumption caused a life-threatening situation. The diagnosis was made immediately and the situation could be controlled by administration of physostigmine.
Klinik für Anaesthesiologie, Medizinische Fakultät der RWTH Aachen.
H
H
Käsmacher-Leidinger
P
P
Löhmer
D000768:Anesthesia, General; D003327:Coronary Disease / Q000150:complications*; D016638:Critical Illness / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010276:Parasympatholytics / Q000009:adverse effects*; D010830:Physostigmine / Q000627:therapeutic use; D013577:Syndrome
D010276:Parasympatholytics; D010830:Physostigmine
Vitale Gefährdung durch zentral-anticholinerges Syndrom bei schwerster koronarer Herzkrankheit.