title: [A case of central anticholinergic syndrome in pediatric anesthesia].
abstract: 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.
authors: Abteilung Anaesthesie III, Medizinische Hochschule Hannover.
authors: H D
authors: HD
authors: Hagemann
authors: D
authors: D
authors: Prass
authors: J
authors: J
authors: Hausdörfer
mesh_terms: 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*
chemical_list: D008874:Midazolam
vernacular_title: Ein Fall von Zentral-Anticholinergischem Syndrom (ZAS) in der Kinderanaesthesie.