Central Anticholinergic Syndrome following Reversal of Neuromuscular Blockade

Rudd P. , Blaschke T.F. Pharmacology of specific antihypertensive agents. In: Goodman and Gilman's—The Pharmacological Basis of Therapeutics. 7th Edition. Gilman A.G. , Goodman L.S. , Rall T.W. , Murad F. eds. New York, Macmillan 1985; 784–805.

Dehring D.J. , Gupta B. , Peruzzi W.T. Postoperative opisthotonus and torticollis after fentanyl, enflurane, and nitrous oxide. Can J Anaesth 1991; 38(7): 919–925.

Willette R.N. , Doorley B.M. , Sapru H.N. Activation of cholinergic mechanisms in the medulla oblongata reverse intravenous opioid-induced respiratory depression. J Pharmacol Exp Ther 1987; 240(1): 352–8.

Wood M. Cholinergic and Parasympathomimetic Drugs. Cholinesterases and anticholinesterases. In: Drugs and anesthesia—Pharmacology for Anesthesiologists. 2nd Edition. Wood M. , Wood A.J.J. eds. Williams and Walkins, Baltimore 1990; 83–109.

Herschman Z.J. , Silverstein J. , Blumberg G. , Lehrfield A. Central nervous system toxicity from nebulized atropine sulfate. J Toxicol Clin Toxicol 1991; 29(2): 273–7.

Herschman Z. , Kaufman B. Complications arising from the use of ophthalmologic medications in an intensive care unit patient. NY State J Med 1989; 89: 537–8.

Rumack B.H. , Lovejoy F.H. Clinical toxicology. In Cassrett and Doull's Toxicology—The Basic Science of Poisons. 3rd Edition, Klaassen C.D. , Amdur M.O. , Doull J. eds. New York, Macmillan 1986; 879–901.

Lauven P.M. , Stoeckel H. Flumazenil (Ro 15–1788) and physostigmine. Resuscitation 1988; 16 Suppl: S41–8.

Schneck H.J. , Rupreht J. Central anticholinergic syndrome in anesthesia and intensive care. Acta Anaesthesiol Belg 1989; 40(3): 219–28.

Rupreht J. , Dworacek B. Central anticholinergic syndrome during postoperative period. Ann Fr Anesth Reanim 1990; 9(3): 295–304.

Repreht J. The central muscarinic transmission during anaesthesia and recovery—the central anticholinergic syndrome. Anaesthesiol Reanim 1991; 16(4): 250–8.

Granacher R.P. , Baldessarine R.J. , Messner E. Physostigmine treatment of delirium induced by anticholinergics. Am Fam Physician 1976; 13: 99–103.

Curtis D. , Stevens W.C. Recovery from general anesthesia. Int Anesthesiol Clin 1991; 29(2): 1–11.