Abstract
Mrs. Baker was 86 years old. She cared for herself in her little apartment and seldom accepted assistance from her children who were living in the same city. Unfortunately, lately she had been having problems with her right arm and couldn’t use it much anymore. She suffered from ankylosing spondylitis but had managed alright until now. Because her activities of daily living were so limited by shoulder pain, she made an appointment with her family physician. He diagnosed a frozen shoulder and referred her to an orthopedic surgeon who practiced at the local hospital. The orthopedic surgeon suggested, “I’ll manipulate your shoulder through the full range of motion under a quick general anesthetic. Then I will decide if arthroscopy is needed. It’s no big deal. I have surgical time available next week. After that you can have a few weeks of physical therapy, then you’ll be like new again.” Mrs. Baker was not looking forward to surgery, but she couldn’t endure the pain any longer.
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Cavaliere F, D‘Ambrosio F, Volpe C, Masieri S. Postoperative delirium. Curr Drug Targets. 2005;6:807–14.
Grum DF, Osborne LR. Central anticholinergic syndrome following glycopyrrolate. Anesthesiology. 1991;74:191–3.
Heeneman S, Daemen MJ. Cardiovascular risks in spondyloarthritides. Curr Opin Rheumatol. 2007;19:358–62.
Kleinschmidt S, Ziegeler S, Bauer C. Cholinesterasehemmer. Cholinesterase inhibitors. Importance in anaesthesia, intensive care medicine, emergency medicine and pain therapy. Anaesthesist. 2005;54:791–9.
Kochanek PM, Bakerer RP, Bayir H, Wagner AK, Jenkins LW, Clark RS. Biomarkers of primary and evolving damage in traumatic and ischemic brain injury: diagnosis, prognosis, probing mechanisms, and therapeutic decision making. Curr Opin Crit Care. 2008;14:135–41.
Lautermann D, Braun J. Ankylosing spondylitis – cardiac manifestations. Clin Exp Rheumatol. 2002;20 Suppl 28:S11–5.
Link J, Papadopoulos G, Dopjans D, Guggenmoos-Holzmann I, Eyrich K. Distinct central anticholinergic syndrome following general anaesthesia. Eur J Anaesthesiol. 1997;14:15–23.
Litaker D, Locala J, Franco K, Bronson DL, Tannous Z. Preoperative risk factors for postoperative delirium. Gen Hosp Psychiatry. 2001;23:84–9.
Quismorio Jr FP. Pulmonary involvement in ankylosing spondylitis. Curr Opin Pulm Med. 2006;12:342–5.
Şahin G, Guler H, Çalikoglu M, Sezgin M. A comparison of respiratory muscle strength, pulmonary function tests and endurance in patients with early and late stage ankylosing spondylitis. Z Rheumatol. 2006;65:535–40.
Sinclair RCF, Faleiro RJ. Delayed recovery of consciousness after anaesthesia. Contin Educ Anaesth Crit Care Pain. 2006;6:114–8.
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Storch, J., Hänsel, M., Domino, K.B., Hübler, M. (2014). Case 19: Frozen Shoulder. In: Hübler, M., Koch, T., Domino, K. (eds) Complications and Mishaps in Anesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45407-3_19
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DOI: https://doi.org/10.1007/978-3-642-45407-3_19
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