Delayed Recovery from Anesthesia Following Suboccipital Craniotomy: A Case Report and Literature Review
- *Corresponding Author:
- Jingping Wang
Department of Anesthesia, Critical Care and Pain Medicine
Massachusetts General Hospital, Harvard Medical School
Harvard University, 55 Fruit Street, Boston, Massachusetts, 02114-3117, USA
E-mail: [email protected]
Received Date: May 28, 2017; Accepted Date: June 26, 2017; Published Date: June 30, 2017
Citation: Kong X,Ma H,Deng H,Young M,Wang J (2017) Delayed Recovery from Anesthesia Following Suboccipital Craniotomy: A Case Report and Literature Review. J Surg Anesth 1:104.
Copyright: © 2017 Kong X, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Delayed awakening from anesthesia poses diagnostic challenges. The time for emergence from anesthesia is affected by patient factors, anesthetic factors, duration of surgery, and painful stimulation. However, delayed emergence can have unusual causes. We report a patient who, following termination of general anesthesia, did not regain consciousness for 6 h following surgery. Vital sign measurements, blood gas analysis, administrations of flumazenil and naloxone, and brain scan ruled out several possible causes for the delayed emergence. Apparently, the delayed emergence was a consequence of hypoperfusion of the brainstem during neurosurgical manipulations. To our knowledge, this is the first reported case of delayed anesthesia recovery on this basis.