| Intraoperative awareness and recall during total hip arthroplasty. | |
| | |
MedLine Citation:
|
PMID: 8347697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A case of intraoperative recall and awareness in a patient with sickle cell disease who had received midazolam, 10 mg at induction of anesthesia, is reported. The patient was on opioids which may also have caused tolerance. Although the use of midazolam may have been judged to provide adequate amnesia, this was clearly not the case. Upon analysis of the reasons for recall, we predicted from a two-compartment model that the estimated blood level was 88 ng/mL-1; this level would have provided no amnesia. This case illustrates that recall can occur with the use of midazolam, especially if levels become subtherapeutic, and other measures should be taken to provide adequate anesthesia and amnesia. |
| | |
Authors:
|
R Stillwell; D Mangar; S A Mohamed; S Markowsky |
Related Documents
:
|
1747037 - Pseudofungi in a lymph node. a case report with energy dispersive x-ray elemental analy... 22004947 - Uncommon case of inferior third molar infection with purulent drainage through the exte... 865357 - Swimming pool immersion accidents: an analysis from the brisbane drowning study. 18963087 - Hydrazones as analytical reagents: a review. 17074567 - Primary synovial sarcoma. 12477637 - Motor vehicle accident with complete loss of consciousness due to vasovagal syncope. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Nurse anesthesia Volume: 4 ISSN: 0897-7437 ISO Abbreviation: Nurse Anesth Publication Date: 1993 Jun |
Date Detail:
|
Created Date: 1993-09-16 Completed Date: 1993-09-16 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9009407 Medline TA: Nurse Anesth Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 80-3 Citation Subset: N |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Amnesia / chemically induced* Anemia, Sickle Cell / complications*, drug therapy Drug Tolerance Female Hip Prosthesis* Humans Midazolam / administration & dosage, adverse effects*, pharmacokinetics Narcotics / adverse effects |
| Chemical | |
Reg. No./Substance:
|
0/Narcotics; 59467-70-8/Midazolam |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcome assessment in education programs.
Next Document: Colonization by Streptococcus group B in full term pregnancy and newborns in a community in Venezuel...