• A&A practice · Apr 2020

    Case Reports

    Prophylactic Physostigmine for Extreme and Refractory Adult Emergence Delirium, Aimed at Increasing Patient Safety and Reducing Health Care Workplace Violence: A Case Report.

    • David A Gutman, Marc Hassid, Zachary Jeanes, Amanda T Redding, and Deborah Romeo.
    • From the Department of Anesthesia, Medical University of South Carolina, Charleston, South Carolina.
    • A A Pract. 2020 Apr 1; 14 (6): e01205.

    AbstractEmergence delirium is a well-known phenomenon that may be encountered after general anesthesia. A common approach to this issue is to risk stratify patients preoperatively and treat them postoperatively if emergence delirium occurs. We present the case of a patient with Barrett esophagus and a history of severe and refractory emergence delirium, who was successfully treated prophylactically with physostigmine, resulting in decreased risk of harm to the patient, trauma to the perioperative staff, and a safer and more positive recovery.

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