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Delayed akathisia and suicidal
attempts following epidural droperidol infusion--a case
report.
Hung YC, Ho YY, Shen
CL.
Department of Anesthesiology, Ton Yen General Hospital,
Hsin Chu, Taiwan, R.O.C.
Epidural administration of droperidol
has been used to prevent postoperative nausea and vomiting (PONV) caused
by opioids, but the adverse reactions were relatively neglected. We
present a patient who received patient-controlled epidural analgesia
(PCEA) with bupivacaine-morphine-droperidol mixture for one and half
days following hemorrhoidectomy, developed paroxysmal adverse reactions
of akathisia, dysphoria, and suicidal attempts 3 days after the
initiation of the treatment. The use of droperidol in PCEA for
prevention of nausea and vomiting therefore needs to be re-evaluated
according to the serious side effects occurring in our
case.
Publication Types:
PMID: 10609349 [PubMed - indexed for
MEDLINE]
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