title: Perioperative Outcome of Dyssomnia Patients on Chronic Methylphenidate Use.
abstract: Methylphenidate is frequently prescribed for attention deficit hyperactivity disorder, narcolepsy, and other sleep disorders requiring psychostimulants. Our report is based on 2 different clinical experiences of patients with chronic methylphenidate use, undergoing general anesthesia. These cases contrast different strategies of taking versus withholding the drug treatment on the day of surgery. From the standpoint of anesthetic management and patient safety, the concerns for perioperative methylphenidate use are mainly related to cardiovascular stability and possible counteraction of sedatives and anesthetics.
authors.affiliation: Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Nicoleta
authors.initials: N
authors.lastname: Stoicea
authors.affiliation: Department of Orthopaedics, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Thomas
authors.initials: T
authors.lastname: Ellis
authors.affiliation: Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Moran
authors.affiliation: Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Wiebke
authors.initials: W
authors.lastname: Ackermann
authors.affiliation: Ohio State University, College of Medicine.
authors.forename: Thomas
authors.initials: T
authors.lastname: Wilson
authors.affiliation: Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Quevedo
authors.affiliation: Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH ; Department of Neurological Surgery, Wexner Medical Center, Ohio State University, Columbus, OH.
authors.forename: Sergio
authors.initials: S
authors.lastname: Bergese
keywords: general anesthesia; hypersomnia; methylphenidate; narcolepsy