[Central anticholinergic syndrome after propofol anesthesia].
A 37-year old patient was anaesthetised twice within 4 weeks for surgery of a vertebral disc prolapse. The first anaesthesia was performed with volatile anaesthetics without any anomalies. After the second operation in total intravenous anaesthesia with propofol and alfentanil the excitatory form of a central anticholinergic syndrome occurred. The application of physostigmine resulted in an immediate and complete disappearance of the symptoms.
Kaiser-Stadler
M
M
Klinik für Anästhesiologie und Intensivmedizin, Universität des Saarlandes, Homburg/Saar.
Altmayer
P
P
D000328:Adult; D000768:Anesthesia, General; D001921:Brain / Q000187:drug effects; D004831:Epilepsies, Myoclonic / Q000139:chemically induced* / Q000188:drug therapy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D010830:Physostigmine / Q000008:administration & dosage; D011183:Postoperative Complications / Q000139:chemically induced* / Q000188:drug therapy / Q000601:surgery*; D015742:Propofol / Q000009:adverse effects*; D011950:Receptors, Cholinergic / Q000187:drug effects; D012008:Recurrence; D012086:Reoperation
D011950:Receptors, Cholinergic; D010830:Physostigmine; D015742:Propofol
Zentral-Anticholinerges Syndrom nach einer Propofolanästhesie.