title: Postoperative transient ischemic attack complicated by CO2 retention and hypoxemia in a patient receiving meperidine injection for postoperative pain relief.
abstract: Transient ischemic attack (TIA) or stroke is not a rare complication, particularly in aged patients after surgery and anesthesia. If it is not properly managed, unmendable injury may inevitably occur. Patients who experience postoperative TIA or stroke usually have underlying diseases without resolution or good control. We bring forward here for discussion a fatality due to unappropriately managed TIA, which occurred in a 72-year-old male, within 24 hours after surgery. Besides making accurate diagnosis, selection of drugs for pain relief and appropriate overall management are key points of discussion.
authors.affiliation: Department ofAnesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
authors.forename: Hsien-Kuang
authors.initials: HK
authors.lastname: Lee
authors.forename: Chi-Hou
authors.initials: CH
authors.lastname: Chen
authors.forename: Chih-Shung
authors.initials: CS
authors.lastname: Wong
authors.forename: Chen-Hwan
authors.initials: CH
authors.lastname: Cherng
authors.forename: Shung-Tai
authors.initials: ST
authors.lastname: Ho
authors.forename: Chih-Cherng
authors.initials: CC
authors.lastname: Lu
authors.forename: Tak-Yu
authors.initials: TY
authors.lastname: Lee
mesh_terms: D000368:Aged; D002245:Carbon Dioxide / Q000378:metabolism*; D006801:Humans; D000860:Hypoxia / Q000150:complications*; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008297:Male; D008614:Meperidine / Q000627:therapeutic use*; D010149:Postoperative Pain / Q000188:drug therapy*; D011183:Postoperative Complications / Q000209:etiology*
chemical_list: D002245:Carbon Dioxide; D008614:Meperidine