[A case of central anticholinergic syndrome in pediatric anesthesia].
The central cholinergic syndrome developed in a 5 1/2-year-old child after premedication with midazolam and a short volatile anesthetic. Diagnosis was made more difficult because of a history of nephrotic syndrome, convulsions, relative acetylcholinesterase deficiency and chronic medication with a corticosteroid. Successful management of such cases depends on a through differential diagnosis before the institution of physostigmine therapy. Intensive postoperative monitoring is strongly recommended.
Hagemann
H D
HD
Abteilung Anaesthesie III, Medizinische Hochschule Hannover.
Prass
D
D
Hausdörfer
J
J
D001342:Autonomic Nervous System Diseases / Q000139:chemically induced* / Q000503:physiopathology; D002648:Child; D005260:Female; D006801:Humans; D008874:Midazolam / Q000009:adverse effects*; D009404:Nephrotic Syndrome / Q000150:complications / Q000503:physiopathology; D010275:Parasympathetic Nervous System; D011229:Preanesthetic Medication / Q000009:adverse effects*
D008874:Midazolam
Ein Fall von Zentral-Anticholinergischem Syndrom (ZAS) in der Kinderanaesthesie.