An unexpected increase of entropy in a sleepwalking disorder patient during propofol and remifentanil anesthesia - A case report
- Authors
- Choi, Y.J.; Kwon, K.; Bae, G.E.; Yoon, S.Z.; Lee, H.W.; Lim, H.J.
- Issue Date
- 2014
- Publisher
- Korean Society of Anesthesiologists
- Keywords
- Anesthetics; Entropy; Somnambulism
- Citation
- Korean Journal of Anesthesiology, v.67, no.4, pp.270 - 274
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 67
- Number
- 4
- Start Page
- 270
- End Page
- 274
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/100857
- DOI
- 10.4097/kjae.2014.67.4.270
- ISSN
- 2005-6419
- Abstract
- We report a case of increased values of entropy parameters Response Entropy (RE) and State Entropy (SE) during intravenous general anesthesia in a sleepwalking patient. An ASA class II, 64-year-old woman with stress incontinence underwent mid-urethral sling surgery. Prior to surgery, the patient had been administered paroxetine, valproic acid and clonazepam for the treatment of sleepwalking disorder. After 10 min of target-controlled infusion of propofol and remifentanil, entropy values increased up to 94 (RE) and 88 (SE) for 10 min. The target effect-site concentrations of anesthetics increased from 4 to 7 μg/ml propofol and 4 ng/ml remifentanil, at which point values fell back to adequate anesthesia levels. Episodes of recall or of explicit memories did not occur during the anesthesia. In conclusion, sleepwalking patients with long-term use medications may need increment of anesthetic dose caused by the anesthetic drug metabolism activation or impairment or immaturity of inhibitory circuits in brain. © the Korean Society of Anesthesiologists, 2014.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.