Narcolepsy and anesthesia.

نویسندگان

  • A Mesa
  • A P Diaz
  • M Frosth
چکیده

8. Rosenzweig EB, Kerstein D, Bdrst RJ: Long-term prostacyclin for pulmonary hypertension with associated congenital heart defects. Circulation 1999; 99:1858-65 9. Olschewski H, Walmrath D, Schermuly R, Ghofrani A, Grimniinger F, Seeger W: Aerosolized prostacyclin and iloprost in severe pulmonary hypertension. Ann Intern Med 1996; 124:820 4 10. Mikhail G, Gibbs SR, Richardson M, Wright G, Khagani A, Banner N, Yacoub M: An evaluation of nebulized prostacyclin in patients with primary and secondary pulmonary hypertension. Eur Heart J 1997; 18:1499-504 1 1. Friedman R, Mears JG, Barst RJ: Continuous infusion of prostacyclin normalizes plasma markers of endothelial cell injury and platelet aggregation in primary pulmonafy hypertension. Circulation 1997; 96:27824 12. Goodwin TM, Gherman RB, Hameed A, Elkayam U: Favorable response of Eisenmenger syndrome to inhaled nitric oxide during pregnancy. Am J Obstet Gynecol 1999; 180:64 -7 13. Case records of the Massachusettes General Hospital. WeeMy clinicopathological exercises. Case 4-1999: A 38-year-old woman with increasing pulmonary hypertension after delivery. N Engl J Med 1999; 340:455-64 14. Robinson JN, Banerjee R, Landzberg MJ, Thiet MP: Inhaled nitric oxide therapy in pregnancy complicated by pulmonary hypertension. Am J Obstet Gynecol 1999; 180:1045-6 15. Easterling TR, Ralph DD, Schmucker BC: Pulmonary hypertension in pregnancy: Treatment with pulmonary vasodilators. Obstet Gynecol 1999; 93:494-8 16. O’Hare R, McLoghlin C, Milligan K, McNamee D, Sidhu H: Anaesthesia for Caesarean section in the presence of severe primary pulmonary hypertension. Br J Anaesth 1998; 81:790-2 17. Campos 0, Andrade JL, Bocanegra J, Ambrose JA, Carvalho AC, Harada K, Martinez EE: Physiologic multivalvular regurgitation during pregnancy: A longitudinal Doppler echocardiographic study. Int J Cardiol 1993; 40:265-72

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Total Intravenous Anesthesia for a Patient with Narcolepsy

Narcolepsy is a disorder of unknown etiology. It is characterized by excessive sleepiness that is typically associated with cataplexy and other Rapid Eye Movement (REM) sleep phenomena, such as sleep paralysis and hypnagogic hallucinations. When administering general anesthesia to patients with narcolepsy, delayed emergence after general anesthesia, post-operative hypersomnia and drug interacti...

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Narcolepsy is a neurological disease characterized by excessive daytime sleepiness, cataplexy, and/or a sudden loss of muscle tone due to malfunction of the orexinergic system, which may cause delayed emergence from general anesthesia. We report a successful anesthetic management of 24-year-old female narcoleptic patient undergoing left anterior cruciate ligament reconstruction. Anesthesia was ...

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IMPLICATIONS Amphetamines are powerful, sympathomimetic amines that, when used chronically, can profoundly effect a patient's cardiovascular stability during anesthesia and surgery. Amphetamines are the third most widely abused class of drugs in the United States. They also have legitimate medical use for attention deficit disorder with hyperactivity, exogenous obesity, and narcolepsy. We repor...

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Introduction: The importance of obstructive sleep apnea in patients undergoing surgery with general anesthesia is well-defined, but the surgical and anesthetic implications of other sleep disorders are less clear. We sought to evaluate response to surgery with general anesthesia in patients with central disorders of hypersomnolence or restless legs syndrome. Methods: We surveyed patients on the...

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Anesthesia considerations for patients with narcolepsy.

Narcolepsy is a derangement of the normal sleep-wakefulness rhythms. Originally, narcolepsy was thought to be a form of epilepsy; however, with the development and subsequent refinement of the electroencephalograph, this notion is no longer accepted. The disorder is characterized by inappropriate intrusions of rapid eye movement sleep into the wakeful state and multiple disruptions of the sleep...

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عنوان ژورنال:
  • Anesthesiology

دوره 92 4  شماره 

صفحات  -

تاریخ انتشار 2000