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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Having Slurred Speech, Hallucinations, Confusion In A 85 Year Old After Laparoscopic Cholecystectomy?

My mom is 85, had Lap cholecystectomy done Monday the15th, and was admitted to ICU from Post OP due to Tachy, Hypertensive, then became hypotensive and is now presenting slurred speech, hallucinations, and very confused. She is in a rural hospital I would like her transferred to a bigger facility where there are specialist to evaluate her current status. What do you thing is happening.
Fri, 27 Dec 2013
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Your mother is probably suffering from postoperative delirium which is very common among old age patients.
She need psychiatric consultation.
Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective.
However other causes like hypoxia should also be evaluated.
CT Scan of brain should also be done to confirm other possibilities.
Hope i have answered your query.

Take Care
Dr.Indu Bhushan
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What Is The Reason For Having Slurred Speech, Hallucinations, Confusion In A 85 Year Old After Laparoscopic Cholecystectomy?

Hello Thanks for writing to HCM Your mother is probably suffering from postoperative delirium which is very common among old age patients. She need psychiatric consultation. Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective. However other causes like hypoxia should also be evaluated. CT Scan of brain should also be done to confirm other possibilities. Hope i have answered your query. Take Care Dr.Indu Bhushan