PDF(Pubmed)
Abstract：
BACKGROUND: Claustrophobia is a form of phobic anxiety disorder characterized by panic attacks. Anesthesia in patients with claustrophobia poses a challenge because these patients reject all treatments in an enclosed space. When such patients are treated in uncomfortably enclosed environments, it can cause mental distress and even sudden psychiatric death.
METHODS: We report the case of a 55-year-old man with severe anxiety disorder and claustrophobia who required anesthesia for the surgical treatment of rhegmatogenous retinal detachment. This patient had a history of severe anxiety and claustrophobia for more than 40 years, without having received any treatment for the condition. The patient had failed to tolerate multiple chamber surgeries. Following multidisciplinary discussion, the patient\'s surgery was performed under general anesthesia in the operating room after the patient underwent induction of anesthesia outside the operating room.
CONCLUSIONS: This case report shows that patients with claustrophobia need to be provided a comfortable environment for induction and awakening from anesthesia.
METHODS: We report the case of a 55-year-old man with severe anxiety disorder and claustrophobia who required anesthesia for the surgical treatment of rhegmatogenous retinal detachment. This patient had a history of severe anxiety and claustrophobia for more than 40 years, without having received any treatment for the condition. The patient had failed to tolerate multiple chamber surgeries. Following multidisciplinary discussion, the patient\'s surgery was performed under general anesthesia in the operating room after the patient underwent induction of anesthesia outside the operating room.
CONCLUSIONS: This case report shows that patients with claustrophobia need to be provided a comfortable environment for induction and awakening from anesthesia.
摘要：
背景：幽闭恐怖症是一种以惊恐发作为特征的恐惧症焦虑症。幽闭恐惧症患者的麻醉构成了挑战，因为这些患者拒绝在封闭空间中进行所有治疗。当这些患者在不舒适的封闭环境中接受治疗时，它会导致精神困扰，甚至精神猝死。
方法：我们报告了一例55岁的患有严重焦虑症和幽闭恐怖症的男性患者，该患者需要麻醉以手术治疗孔源性视网膜脱离。这个病人有严重焦虑和幽闭恐惧症的病史超过40年,没有接受过任何治疗。患者未能耐受多腔室手术。经过多学科讨论，患者在手术室外进行麻醉诱导后，在手术室全身麻醉下进行手术。
结论：本病例报告显示，需要为幽闭恐怖症患者提供舒适的麻醉诱导和苏醒环境。
方法：我们报告了一例55岁的患有严重焦虑症和幽闭恐怖症的男性患者，该患者需要麻醉以手术治疗孔源性视网膜脱离。这个病人有严重焦虑和幽闭恐惧症的病史超过40年,没有接受过任何治疗。患者未能耐受多腔室手术。经过多学科讨论，患者在手术室外进行麻醉诱导后，在手术室全身麻醉下进行手术。
结论：本病例报告显示，需要为幽闭恐怖症患者提供舒适的麻醉诱导和苏醒环境。
