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Central anticholinergic syndrome in a child undergoing circumcision
Author(s) -
Schultz U.,
Idelberger R.,
Rossaint R.,
Buhre W.
Publication year - 2002
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.2002.460220.x
Subject(s) - medicine , anticholinergic , sedation , physostigmine , anesthesia , airway , airway obstruction , promethazine , anticholinergic agents , muscle tone , surgery , acetylcholine , psychiatry
We describe one of the few pediatric cases of central anticholinergic syndrome (CAS) in an 8‐year‐old boy undergoing elective surgery. Deep sedation, inadequate response to stimuli and reduced muscular tone of the upper airway resulting in airway obstruction were the clinical manifestations of CAS. The symptoms resolved immediately after administration of physostigmine. This case illustrates the importance of considering central anticholinergic syndrome as a differential diagnosis in children if prolonged sedation after general anesthesia occurs.