Evidence map›Paper›PMID 35535428›Full record

ArticleKorean journal of anesthesiology2022

Psychogenic coma after general anesthesia with remimazolam and remifentanil -a case report.

Song Hyun Kim, Kye Min Kim, Yun-Hee Lim, Byung Hoon Yoo, Joonho Cho, In-Jung Jun

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Korean journal of anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Song Hyun KimDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Kye Min KimDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Yun-Hee LimDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Byung Hoon YooDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Joonho ChoDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
In-Jung JunDepartment of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed emergence from general anesthesia is associated with life-threatening conditions with pharmacological, neurological, metabolic, and rarely, psychiatric causes. This case report was presented to report psychogenic coma after recovery from anesthesia with remimazolam and remifentanil. CASE: An elderly woman was unresponsive after recovery from anesthesia with remimazolam and remifentanil. Physical examination, laboratory testing, and radiographic imaging did not reveal any obvious organic causes. Pharmacological or metabolic abnormalities were not found. Absence of those causes strongly suggests that prolonged unconsciousness is related to psychiatric origin. The patient spontaneously regained consciousness after 48 h without any neurological complications.

conclusionsAnesthesiologists should be aware of the possibility of psychogenic coma for patients with unexplained delay in emergence from anesthesia after the exclusion of other causes.

Indexed as

Anesthesia, GeneralComaAgedBenzodiazepinesFemaleHumansRemifentanilBenzodiazepinesRemifentanilremimazolamBenzodiazepinesComaDelayed emergence from anesthesiaGeneral anesthesiaPostoperative complicationsUnconsciousness.

Identifiers

PMID35535428
PMCPMC9539421

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.