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CASE REPORT
Year : 2020  |  Volume : 4  |  Issue : 3  |  Page : 122-124

Perioperative care in a patient with acute psychosis: Challenges and management


1 Department of Anesthesiology, Ganga Medical Centre and Hospitals Pvt Ltd., Coimbatore, Tamil Nadu, India
2 Department of Anesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
3 Department of Psychiatry, Krishna Nursing Home, Centre for Medical Psychology, Counselling and De-addiction, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Tuhin Mistry
G-304, Jainam Planet, Tatibandh, Raipur - 492 099, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/BJOA.BJOA_24_20

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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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