Korean J Anesthesiol.  2016 Dec;69(6):623-626. 10.4097/kjae.2016.69.6.623.

Risperidone in a child with untractable emergency delirium: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. tuderi02@naver.com

Abstract

A 6-year-old boy was scheduled for thoracic magnetic resonance imaging under deep sedation with midazolam 1.8 mg and propofol 100 µg/kg/min via intravenous injection. He showed emergence delirium in the post-anesthesia care unit. The staff attempted to calm him by administering flumazenil as an antidote for midazolam, propofol for further sedation, and meperidine. However, this was not successful. A psychiatrist recommended the use of antipsychotics. Administration of risperidone led to immediate resolution of the boy's symptoms and relaxed him. The use of antipsychotic drugs is not common for anesthesiologists, but should be considered for treating uncontrolled emergence delirium after anesthesia.

Keyword

Antipsychotic drugs; Emergence delirium; Flumazenil; Midazolam; Risperidone

MeSH Terms

Anesthesia
Antipsychotic Agents
Child*
Deep Sedation
Delirium*
Emergencies*
Flumazenil
Humans
Injections, Intravenous
Magnetic Resonance Imaging
Male
Meperidine
Midazolam
Propofol
Psychiatry
Risperidone*
Antipsychotic Agents
Flumazenil
Meperidine
Midazolam
Propofol
Risperidone
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