The Postanesthesia Care Unit - Neurologic Complications
- The most frequent cause of delayed awakening is persistent effects of anesthetics. Less common but possibly life-threatening causes include the organic cerebral events described below.
- Decreased cerebral perfusion of sufficient duration, during or after surgery, may cause diffuse or localized cerebral damage responsible for obtundation and delayed awakening. In patients with cerebrovascular disease, short periods of hypotension may cause a critical reduction of cerebral perfusion resulting in brain damage. If such an event is suspected, a neurologic consultation should be obtained as soon as possible, and specific tests (e.g., computed tomography [CT], magnetic resonance imaging [MRI], or angiography) should be considered. If cerebral edema is suspected, treatment should be started immediately (see Chapter 24).
- Metabolic causes of delayed awakening include hypothermia, sepsis, preexisting encephalopathies, hypoglycemia, and electrolyte or acid–base derangements.
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Pino, Richard M., editor. "The Postanesthesia Care Unit - Neurologic Complications." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728395/all/The_Postanesthesia_Care_Unit___Neurologic_Complications.
The Postanesthesia Care Unit - Neurologic Complications. In: Pino RMR, ed. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728395/all/The_Postanesthesia_Care_Unit___Neurologic_Complications. Accessed June 5, 2023.
The Postanesthesia Care Unit - Neurologic Complications. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures (9th ed.). Wolters Kluwer. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728395/all/The_Postanesthesia_Care_Unit___Neurologic_Complications
The Postanesthesia Care Unit - Neurologic Complications [Internet]. In: Pino RMR, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2023 June 05]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728395/all/The_Postanesthesia_Care_Unit___Neurologic_Complications.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - The Postanesthesia Care Unit - Neurologic Complications ID - 728395 ED - Pino,Richard M, BT - Clinical Anesthesia Procedures UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728395/all/The_Postanesthesia_Care_Unit___Neurologic_Complications PB - Wolters Kluwer ET - 9 DB - Anesthesia Central DP - Unbound Medicine ER -