Key result
Regional anesthesia and conscious sedation enable successful perioperative management for fracture fixation during acute psychosis.
Why the study?
Perioperative care for patients with acute psychosis poses unique challenges to anesthesiologists, as these patients are often uncooperative, difficult to communicate with, aggressive, and frequently taking antipsychotic drugs.
Case Report (n=1)
Regional anesthesia and conscious sedation can be successfully used for perioperative management in patients with acute psychosis undergoing orthopedic surgery.
Perioperative care for acute psychosis lacks high-level evidence; single reports leave optimal protocols open to further study.
Providing perioperative care for patients with acute psychosis poses a unique challenge to the anesthesiologist. These patients are usually uncooperative, difficult to communicate with, and present with aggressive behavior. Such patients often have a history of substance abuse or chronic psychiatric illness and are on antipsychotic drugs. We report the successful perioperative management of a patient with acute psychosis, scheduled for open reduction and internal fixation of right humerus and clavicle fractures under regional anesthesia and conscious sedation.
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Mistry et al. (2020) conducted a case report in Acute psychosis (n=1). Regional anesthesia and conscious sedation was evaluated on Successful perioperative management. Regional anesthesia and conscious sedation allowed for the successful perioperative management of a patient with acute psychosis undergoing fracture fixation.
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