Emergence Delirium in a 29-Year-Old Man following an Uneventful Appendectomy.
Zhi WangYong YangYang ChenKai-Zhi LuBing ChenPublished in: Case reports in medicine (2021)
Emergence delirium (ED) is defined as the delirium that occurs during the transition from the sleep state to full consciousness. ED increases the risk for injury, self-extubation, hemorrhages, and prolonged hospitalization and occurs in patients of any age but most often in children and elderly patients. However, ED in young adults is rarely reported. We presented a case of typical ED occurring in a young healthy man following an uneventful appendectomy. The causes of ED can be classified as either predisposing or precipitating factors. In this case, the unnoticeable mental stress may be the predisposing factor and the sevoflurane maintenance of anesthesia may be the precipitating factor. ED occurs at any age of patient and in any minor surgery, and anesthesiologists should do some work to prevent it from happening.
Keyphrases
- emergency department
- young adults
- cardiac surgery
- end stage renal disease
- chronic kidney disease
- minimally invasive
- mental health
- newly diagnosed
- ejection fraction
- hip fracture
- acute coronary syndrome
- coronary artery disease
- patient reported outcomes
- depressive symptoms
- patient reported
- acute respiratory distress syndrome
- mechanical ventilation
- heat stress