[Anesthesia for pneumonectomy in a patient with an amphetamine psychosis].
We report a 50 year old male patient with an amphetamine psychosis who had anesthesia for a pneumonectomy. The patient had been intoxicated with methylamphetamine since 1976. After drug abuse for 2 years, he suffered from hallucination and delusion. He was diagnosed to have amphetamine psychosis by psychiatrists and treated with major tranquilizers. During the treatment for the psychosis, a squamous cell carcinoma in the lung was found. Pneumonectomy was scheduled. Anesthesia was induced with thiopental 300 mg and maintained with isoflurane, nitrous oxide, oxygen and epidural lidocaine. In the recovery room, he was injected with a major tranquilizer. Epidural buprenorphine was used to lighten the pain stress. Psychotic state did not appear after the surgery. We also discuss amphetamine psychosis in Japan.
Nishimura
S
S
Department of Anesthesiology, Osaka Prefectural Habikino Hospital.
Minami
Y
Y
Kawabata
K
K
Oda
T
T
D000661:Amphetamine; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008175:Lung Neoplasms / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011605:Psychoses, Substance-Induced / Q000150:complications* / Q000453:epidemiology
D000661:Amphetamine