KMID : 0352120170320010072
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Journal of Kyung Hee University 2017 Volume.32 No. 1 p.72 ~ p.75
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A Case Report of Central Anticholinergic Syndrome after General Anesthesia in Patient Taking Anticholinergic Agent : A Case Report
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Oh In-Duk
Kim Young-Soon Kim Keon-Sik
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Abstract
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Acetylcholine serves as a continuous mediator between several neurotransmitters in the central nervous system. Central anticholinergic syndrome is defined as an absolute or relative reduction in cholinergic activity in the central nervous system. Many drugs used in anesthesia are associated with blockade of central cholinergic neurotransmission. As there is no diagnostic test, the diagnosis is made by exclusion of hypoxia, hypercapnia, hyperthermia, hypothermia, urea and electrolyte and acid-base disturbances, endocrine abnormalities, and neurological disturbance from surgery, vascular disease or trauma. We report a case of central anticholinergic syndrome after general anesthesia in patient taking anticholinergic agent.
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KEYWORD
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Acetylcholine, Central anticholinergic syndrome, General anesthesia
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