Unusual Case of Delayed Emergence From General Anesthesia

Document Type

Conference Proceeding

Publication Date



Our patient is a 58 year-old-female with a relevant past medical history including chronic pain, substance use, seizure disorder, and history of TIA presenting for robotic assisted bilateral salpingo-oophorectomy for a pelvic mass. After an uneventful induction and maintenance period, the patient had a prolonged emergence period totaling over 60 minutes and requiring ICU transport. She was noted to be adequately reversed, breathing spontaneously, and her respiratory pattern was not consistent with narcotic overdose. In this case study, we will review normal physiology changes with emergence from general anesthesia, differential diagnosis for delayed emergence, and management of patients with delayed emergence.