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Perioperative Outcome of Dyssomnia Patients on Chronic Methylphenidate Use.

Abstract
Methylphenidate is frequently prescribed for attention deficit hyperactivity disorder, narcolepsy, and other sleep disorders requiring psychostimulants. Our report is based on 2 different clinical experiences of patients with chronic methylphenidate use, undergoing general anesthesia. These cases contrast different strategies of taking versus withholding the drug treatment on the day of surgery. From the standpoint of anesthetic management and patient safety, the concerns for perioperative methylphenidate use are mainly related to cardiovascular stability and possible counteraction of sedatives and anesthetics.
AuthorsNicoleta Stoicea, Thomas Ellis, Kenneth Moran, Wiebke Ackermann, Thomas Wilson, Eduardo Quevedo, Sergio Bergese
JournalJournal of investigative medicine high impact case reports (J Investig Med High Impact Case Rep) 2014 Jan-Mar Vol. 2 Issue 1 Pg. 2324709614521398 ISSN: 2324-7096 [Electronic] United States
PMID26425593 (Publication Type: Journal Article)

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