Articles Vol. 66 No. CĐ13- HNKH Gây mê Hồi sức 25/09/2025

23. DELAYED EMERGENCE AFTER GENERAL ANESTHESIA IN A PATIENT UNDERGOING THYROID SURGERY: A CASE REPORT

Chinh Phung Van1, Minh Pham Quang2
1 Bai Chay Hospital, Quang Ninh
2 Department of Anesthesia and Resuscitation, Hanoi Medical University
Corresponding author: phamquangminh@hmu.edu.vn
DOI: 10.52163/yhc.v66iCD13.3189
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Abstract

Delayed awakening after anesthesia is a rare condition but can cause anxiety for both doctors and patients’ families, requiring differential diagnosis and timely treatment. We present a case of a 40-year-old female patient who underwent general anesthesia for thyroid surgery. The patient had a healthy medical history and preoperative laboratory tests were within normal limits. The induction and maintenance of anesthesia were uneventful, and the left grand thyroidectomy and lymph node dissection of group 6 went smoothly during 40 minutes. After the surgery, the patient was released from anesthesia normally. There was a prolonged delay in awakening despite no obvious abnormalities in clinical and laboratory tests. After close monitoring and minimal supportive intervention, the patient was fully awake after 2.5 hours, leaving no sequelae. The case emphasizes the need to recognize early delayed awakening after anesthesia, studying medical literature to develop timely monitoring and treatment strategies, which is very necessary in clinical practice.

Keywords
elayed awakening from anesthesia, general anesthesia, thyroid surgery, delayed recovery.
References
[1]
Cascella M, Bimonte, Sabrina et al. Delayed Emergence from Anesthesia: What We Know and How We Act. Local Reg. Anesth, 2020, 13: 195-206. doi: 10.2147/LRA.S230728. Google Scholar
[2]
Misal U.S, Joshi S.A, Shaikh M.M et al. Delayed recovery from anesthesia: A postgraduate educational review. Anesth. Essays Res, 2016, 10 (2): 164. doi: 10.4103/0259-1162.165506. Google Scholar
[3]
Openanesthesia. Delayed Emergence After Anesthesia. OpenAnesthesia. Available at: https://www.openanesthesia.org/keywords/delayed-emergence-after-anesthesia Google Scholar
[4]
Tzabazis A, Miller C, Dobrow M.F, Zheng K, Brock-Utne J.G. Delayed emergence after anesthesia. J. Clin. Anesth, 2015, 27 (4): 353-360. doi: 10.1016/j.jclinane.2015.03.023 Google Scholar
[5]
Yonekura H, Murayama N, Yamazaki H, Sobue K. A Case of Delayed Emergence After Propofol Anesthesia: Genetic Analysis. Case Rep, 2016, 7 (11): 243-246. doi: 10.1213/XAA.0000000000000397 Google Scholar
[6]
Maeda S, Tomoyasu Y, Higuchi H, Ishii-Maruhama M, Egusa M, Miyawaki T. Independent predictors of delay in emergence from general anesthesia. Anesthesia Progress, 2015, 62 (1): 8‐13. doi:10.2344/0003-3006-62.1.8 Google Scholar
[7]
Thomas E et al. Delayed recovery of consciousness after general anaesthesia. BJA Education, 2020, 20 (5): 173-179. doi: 10.1016/j.bjae.2020.01.007 Google Scholar