Anesthetic management of a patient with neuroleptic malignant syndrome.

Abstract:

:Neuroleptic malignant syndrome is an uncommon, idiosyncratic, and sometimes life-threatening disorder associated with the use of neuroleptic drugs. The pathogenesis of neuroleptic malignant syndrome is uncertain, but it may be similar to that of malignant hyperthermia (MH). Some of the symptoms of neuroleptic malignant syndrome are similar to those of MH. We anesthetized a 17-year-old man with this syndrome multiple times for electroconvulsive therapy (ECT) using a variety of anesthetic techniques. In this patient, dantrolene pretreatment and the use of nondepolarizing muscle relaxants did not relieve symptoms of the syndrome, including fever and creatine phosphokinase (CPK) increases.

journal_name

J Clin Anesth

authors

Vitkun SA,Boccio RV,Poppers PJ

doi

10.1016/0952-8180(90)90096-l

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

188-91

issue

3

eissn

0952-8180

issn

1873-4529

pii

0952-8180(90)90096-L

journal_volume

2

pub_type

杂志文章
  • Perioperative use of angiotensin-converting-enzyme inhibitors and angiotensin receptor antagonists.

    abstract:STUDY OBJECTIVE:Clinical repercussions of perioperative treatment with ACEIs/ARBs. DESIGN:Systematic review according to PRISMA statement. SETTING:Perioperative period. PATIENTS:29 studies 11 cases/cases series, 12 observational studies and 6 randomized studies. MEASUREMENTS:Arterial blood pressure differences, ref...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinane.2017.04.018

    authors: Vaquero Roncero LM,Sánchez Poveda D,Valdunciel García JJ,Sánchez Barrado ME,Calvo Vecino JM

    更新日期:2017-08-01 00:00:00

  • Tracheal width and left double-lumen tube size: a formula to estimate left-bronchial width.

    abstract:STUDY OBJECTIVE:To determine which patient parameters best predict left bronchial width (LBW) when selecting the correct size double-lumen tube (DLT). If LBW is known, a DLT that will fit that bronchus can be chosen. DESIGN:Prospective study. SETTING:University medical center. PATIENTS:Three hundred twenty-one conse...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2004.07.008

    authors: Brodsky JB,Lemmens HJ

    更新日期:2005-06-01 00:00:00

  • Rocuronium infusion requirements and plasma concentrations at constant levels of neuromuscular paralysis during three phases of liver transplantation.

    abstract:STUDY OBJECTIVE:To develop a rapid online test of graft liver function during liver transplantation. DESIGN:Prospective, observational study. SETTING:University hospital transplant unit. PATIENTS:17 adult patients with end-stage liver disease who underwent liver transplantation surgery. INTERVENTIONS:Rocuronium inf...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0952-8180(03)00061-8

    authors: Gao L,Ramzan I,Baker B

    更新日期:2003-06-01 00:00:00

  • Drug interactions: volatile anesthetics and opioids.

    abstract::Multiple drugs are used to provide anesthesia. Volatile anesthetics are commonly combined with opioids. Several studies have demonstrated that small doses of opioid (i.e., within the analgesic range) result in a marked reduction in minimum alveolar concentration (MAC) of the volatile anesthetic that will prevent purpo...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(97)00122-0

    authors: Glass PS,Gan TJ,Howell S,Ginsberg B

    更新日期:1997-09-01 00:00:00

  • Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis.

    abstract:STUDY OBJECTIVE:To determine if the use of ultrasound guidance (vs non-ultrasound techniques) improves the success rate of nerve blocks. DESIGN:Meta-analysis of randomized controlled trials (RCTs) in the published literature. SETTING:University medical center. MEASUREMENTS:16 RCTs of patients undergoing elective sur...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.jclinane.2010.12.005

    authors: Gelfand HJ,Ouanes JP,Lesley MR,Ko PS,Murphy JD,Sumida SM,Isaac GR,Kumar K,Wu CL

    更新日期:2011-03-01 00:00:00

  • Use of patient-controlled analgesia with alfentanil for extracorporeal shock wave lithotripsy.

    abstract:STUDY OBJECTIVE:To compare the efficacy of patient-controlled analgesia (PCA) to physician-controlled analgesia in patients undergoing extracorporeal shock wave lithotripsy (ESWL). DESIGN:Prospective, randomized trial. SETTING:New Jersey Kidney Stone Treatment Center at Robert Wood Johnson University Hospital, New Br...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(95)00008-6

    authors: Kortis HI,Amory DW,Wagner BK,Levin R,Wilson E,Levin A,Pitchford DE,Pollak P

    更新日期:1995-05-01 00:00:00

  • A potentially fatal complication during subclavian vein catheterization in an infant with congenital heart disease-puncture to pulmonary artery directly: a case report.

    abstract::The most frequent and acute complications of subclavian vein catheterization are arterial puncture to the subclavian artery and pneumothorax. We report an arterial puncture directly to the pulmonary artery in infant during subclavian vein catheterization. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2007.10.012

    authors: Lu WH,Huang TC,Pan JY,Wang HP,Lin CC,Chen YY,Hsieh KS

    更新日期:2008-05-01 00:00:00

  • Malignant hyperthermia associated with diabetic hyperosmolar hyperglycemic nonketotic state in a young man.

    abstract::Malignant hyperthermia (MH) is a rare complication that often leads to adverse outcomes, catastrophic events, or death. Although various risk factors and underlying diseases are associated with this condition, unusual presentations may be missed. Malignant hyperthermia is an uncommon complication encountered during th...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2006.12.008

    authors: Baluch AR,Oommen SP

    更新日期:2007-09-01 00:00:00

  • Perioperative population management for primary hip arthroplasty reduces hospital and postacute care utilization while maintaining or improving care quality.

    abstract:STUDY OBJECTIVE:Physician-led multidisciplinary care coordination decreases hospital-associated care needs. We aimed to determine whether such care coordination can show benefits through the posthospital discharge period for elective hip surgery. DESIGN:Time Series of prospectively recorded and historical data. SETTI...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2020.110072

    authors: Schubert A,Patterson M,Sumrall WD,Broussard D,Dias D,Aboalfaraj A,Thomas L,Bergeron B,Brandon P,Shum L,Ravipati L,Chimento G

    更新日期:2021-02-01 00:00:00

  • Effects of intravenous lidocaine and/or esmolol on hemodynamic responses to laryngoscopy and intubation: a double-blind, controlled clinical trial.

    abstract:STUDY OBJECTIVES:To evaluate the efficacy of intravenous lidocaine and two doses of esmolol for attenuating the cardiovascular responses to laryngoscopy and intubation, and to assess whether a combination of both drugs is more effective than either drug alone. DESIGN:Randomized, prospective, double-blind, placebo-cont...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(96)00109-2

    authors: Kindler CH,Schumacher PG,Schneider MC,Urwyler A

    更新日期:1996-09-01 00:00:00

  • Oral clonidine blunts the hemodynamic responses to brief but not prolonged laryngoscopy.

    abstract:STUDY OBJECTIVE:To determine whether a 300 micrograms dose of oral clonidine given 90 minutes prior to laryngoscopy and intubation provides hemodynamic protection from the stress of a brief (15-second) and/or a prolonged (45-second) laryngoscopy. DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:Inpa...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(93)90089-w

    authors: Laurito CE,Baughman VL,Becker GL,Cunningham F,Pygon BH,Citron GM

    更新日期:1993-01-01 00:00:00

  • Evaluation of a simplified augmented reality device for ultrasound-guided vascular access in a vascular phantom.

    abstract:STUDY OBJECTIVE:To investigate whether a novel ultrasound device may be used with a simplified augmented reality technique, and to compare this device with conventional techniques during vascular access using a vascular phantom. DESIGN:Prospective, randomized study. SETTING:Anesthesiology and Pain Medicine department...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2014.02.010

    authors: Jeon Y,Choi S,Kim H

    更新日期:2014-09-01 00:00:00

  • The effect of nitrous oxide on intracuff pressure of the size 2 ProSeal Laryngeal Mask Airway.

    abstract:STUDY OBJECTIVE:To investigate intracuff pressure changes in the ProSeal Laryngeal Mask Airway (PLMA) during 50% nitrous oxide (N₂O) anesthesia. DESIGN:Prospective, randomized study. SETTING:Operating room of a university-affiliated hospital. PATIENTS:40 ASA 1 and 2 children, aged 2 to 6 years, weighing 10-20 kg, un...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2010.09.004

    authors: Chen BZ,Luo LH,Jiang L,Wang RR,Li J,Tan L

    更新日期:2011-05-01 00:00:00

  • Chewing gum for 1 h does not change gastric volume in healthy fasting subjects. A prospective observational study.

    abstract:STUDY OBJECTIVE:Perioperative fasting guidelines differ in their approaches to chewing gum in the preoperative period. Current recommendations range from canceling the surgery to proceeding with it. Given this lack of consensus, we performed gastric ultrasound assessments in healthy volunteers before and after a standa...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2019.01.021

    authors: Valencia JA,Cubillos J,Romero D,Amaya W,Moreno J,Ferrer L,Pabón S,Perlas A

    更新日期:2019-09-01 00:00:00

  • Postoperative analgesic effect of epidural neostigmine and plasma cortisol and IL-6 responses.

    abstract:STUDY OBJECTIVES:To examine whether epidural administration of neostigmine reduces the stress and inflammatory responses thereby improving postoperative pain status. DESIGN:Randomized, double-blinded clinical study. SETTING:Operating rooms and wards of a university hospital. PATIENTS:40 ASA physical status I patient...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2003.12.009

    authors: Masaki E,Saito H,Shoji K,Matsushima M

    更新日期:2004-11-01 00:00:00

  • Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration.

    abstract:STUDY OBJECTIVE:To evaluate the influence of nasal oxygen (O(2)) administration on the duration of arterial oxygen saturation (SpO(2)) >or=95% during simulated difficult laryngoscopy in obese patients. DESIGN:Prospective, randomized, controlled trial. SETTING:University hospital. PATIENTS:30 obese men undergoing gen...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2009.05.006

    authors: Ramachandran SK,Cosnowski A,Shanks A,Turner CR

    更新日期:2010-05-01 00:00:00

  • The optimal effective concentration of lidocaine to reduce pain on injection of propofol.

    abstract:STUDY OBJECTIVE:To determine the optimal concentration of lidocaine that reduces pain on injection of a propofol-lidocaine mixture. DESIGN:Prospective, randomized, double-blinded, clinical investigation. SETTING:Medical center, university teaching hospital. PATIENTS:240 ASA physical status I and II female outpatient...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(99)00040-9

    authors: Ho CM,Tsou MY,Sun MS,Chu CC,Lee TY

    更新日期:1999-06-01 00:00:00

  • Ulnar artery versus radial artery approach for arterial cannulation: a prospective, comparative study.

    abstract:STUDY OBJECTIVE:To compare the ease of cannulation, success/failure rate, and complication rate between ulnar and radial arteries. DESIGN:Randomized, controlled study. SETTING:Operating room. PATIENTS:100 ASA physical status I, II, and III patients undergoing general anesthesia and requiring arterial cannulation. I...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2006.10.012

    authors: Karacalar S,Ture H,Baris S,Karakaya D,Sarihasan B

    更新日期:2007-05-01 00:00:00

  • Topical anesthesia versus retrobulbar block for cataract surgery: the patients' perspective.

    abstract:STUDY OBJECTIVES:To compare patients' perception of topical anesthesia (TA) with combined peribulbar and retrobulbar block (PRBB) for cataract surgery. DESIGN:Prospective, randomized, controlled, cross-over observational study. SETTING:Private clinic. PATIENTS:98 ASA physical status I and II patients presenting for ...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(00)00117-3

    authors: Boezaart A,Berry R,Nell M

    更新日期:2000-02-01 00:00:00

  • Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy.

    abstract:STUDY OBJECTIVE:To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. DESIGN:Prospective, randomized, controlled study. SETTING:Postoperative recovery area at a university-affiliated medical center. PATIENTS:50 ASA physical status I and II adult outpatients undergoing...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2008.04.003

    authors: Montes FR,Zarate E,Grueso R,Giraldo JC,Venegas MP,Gomez A,Rincón JD,Hernadez M,Cabrera M

    更新日期:2008-09-01 00:00:00

  • Perioperative management of a patient with hereditary angioedema during off-pump coronary artery bypass graft surgery.

    abstract::The case of a patient with hereditary angioedema (HAE), a rare, life-threatening disorder caused by reduced activity of the C1 esterase inhibitor, and requiring off-pump coronary artery bypass graft (OP-CABG) surgery, is presented. Perioperative management of patients with HAE who undergo complex cardiac surgical proc...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2009.04.007

    authors: Shick V,Sanchala V,McGoldrick KE,Tartaglia JJ,Nelson J,Fleisher AJ

    更新日期:2010-06-01 00:00:00

  • Pneumothorax after tracheostomy closure with successful nonsurgical management.

    abstract::A 3-year-old girl presented for routine closure of her tracheostomy site. She was intubated easily for the procedure, and the wound was closed with a drain in place. In recovery, the mother noticed fullness in the patient's submandibular region, and on examination, the girl had subcutaneous emphysema in the neck bilat...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.01.033

    authors: Lee BH,Sarah GE,Rosbe KW,Alemi S

    更新日期:2016-06-01 00:00:00

  • Fibrodysplasia ossificans progressiva: anesthetic management in complex orthopedic spine procedures.

    abstract::Fibrodysplasia ossificans progressiva (FOP) is a rare disorder of the connective tissue leading to progressive tissue ossification and immobilization. Soft-tissue trauma may exacerbate this condition, causing further ossification. Multisystem involvement includes restrictive lung disease, cervical ankylosis with limit...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2010.11.004

    authors: Gorji R,Li F,Nastasi R,Stuart S

    更新日期:2011-11-01 00:00:00

  • General versus epidural anesthesia for femoral-popliteal bypass surgery.

    abstract::This study examines whether epidural anesthesia is more effective than general anesthesia using an inhalation agent in controlling cardiovascular responses during femoral-popliteal bypass surgery. Nineteen patients were randomized into two groups: general anesthesia (n = 10) and epidural anesthesia (n = 9). The patien...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(90)90056-9

    authors: Damask MC,Weissman C,Todd G

    更新日期:1990-03-01 00:00:00

  • Avoiding adverse outcomes in patients with obstructive sleep apnea (OSA): development and implementation of a perioperative OSA protocol.

    abstract::Obstructive sleep apnea (OSA) is associated with postoperative airway obstruction, hypoxemia, cardiac arrhythmias, cardiorespiratory arrest, hypoxic encephalopathy, and death. Three cases highlighting important issues in patients with OSA are presented that occurred prior to and after implementation of an OSA protocol...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2008.08.023

    authors: Bolden N,Smith CE,Auckley D

    更新日期:2009-06-01 00:00:00

  • A retrospective study showing the extent of compliance with perioperative guidelines in patients with coronary stents with regard to double antiplatelet therapy.

    abstract:STUDY OBJECTIVE:To evaluate perioperative dual antiplatelet therapy management in patients with previously placed coronary stents. DESIGN:Retrospective medical record review. SETTING:Academic medical center. PATIENTS:A total of 1891 surgical cases performed at Vanderbilt University Medical Center in 2012 were evalua...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.01.030

    authors: Woolard AA,Ehrenfeld JM,Eagle SS,Wanderer JP

    更新日期:2016-09-01 00:00:00

  • Grand mal seizure in a postpartum patient following intravenous infusion of caffeine sodium benzoate to treat persistent headache.

    abstract::A 27-year-old parturient developed a severe headache after placement of a labor epidural catheter. A presumptive diagnosis of an occult postdural puncture headache (PDPH) was made, and the patient was treated with an intravenous (IV) infusion of 500 mg of caffeine sodium benzoate (CSB) to vasoconstrict dilated cerebra...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(92)90121-g

    authors: Cohen SM,Laurito CE,Curran MJ

    更新日期:1992-01-01 00:00:00

  • Liver transplantation for hepatic arteriovenous malformation with high-output cardiac failure in hereditary hemorrhagic telangiectasia: hemodynamic study.

    abstract::We describe a case of orthotopic liver transplantation used as a therapeutic method to correct high output cardiac failure related to a liver arteriovenous fistula due to hereditary hemorrhagic telangiectasia. Detailed hemodynamic changes as they occurred during liver transplantation are described. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(00)00160-4

    authors: Le Corre F,Golkar B,Tessier C,Kavafyan J,Marty J

    更新日期:2000-06-01 00:00:00

  • Case report of a guide wire loss and migration after central venous access.

    abstract::We report a case of guide wire loss and migration after central venous access for spinal deformity surgery. Guide wire migration was noticed on a follow-up full spine x-ray 69 days postoperatively. Percutaneous retrieval was successfully performed using endovascular techniques. With this case report, we want to highli...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2015.04.005

    authors: Van Doninck J,Maleux G,Coppens S,Moke L

    更新日期:2015-08-01 00:00:00

  • A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit.

    abstract:STUDY OBJECTIVE:To determine the significance of pain and other symptoms on the recovery process after ambulatory surgery, by surveying pain, analgesic use, and related aspects of recovery in the first 48 hours after discharge from an ambulatory surgery unit. DESIGN:Prospective, observational, surveillance survey. PA...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2003.08.004

    authors: Pavlin DJ,Chen C,Penaloza DA,Buckley FP

    更新日期:2004-05-01 00:00:00