Acute Delirium after Injectable Tramadol

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dc.contributor.authorLal, Manu Mathewen_US
dc.contributor.authorShah, Manharen_US
dc.contributor.authorRajpal, Deepalien_US
dc.contributor.authorBaviskar, Ajiten_US
dc.date.accessioned2019-12-06T09:25:54Z
dc.date.available2019-12-06T09:25:54Z
dc.date.issued2018-03
dc.description.abstractntroduction: Delirium and confusional states are among the most common mental disorders encountered in patients with acute medical illness, particularly among those who are older. We report a case of tramadol induced acute delirium in a patient admitted in the emergency ward which was managed by stoppage of the offending drug. Case report: A 62 year old male presented to the emergency ward with complaints of acute abdominal pain and ultrasonography revealed cholithiasis. All other investigations were unremarkable and the patients was put on conservative management including tramadol for pain relief. Few hours later, the patient developed confusion, violent behavior, and started talking irrelevantly, which subsided after he was sedated with lorazepam. Next morning, after receiving another dose of injectable tramadol, the patient again developed delirium with similar symptoms as the night before. After thorough psychiatric consultation he was diagnosed with tramadol induced delirium. As a result, tramadol was discontinued and the patient recovered completely. Conclusion: Tramadol, a commonly used analgesic in emergency and surgical settings, can lead to delirium. It is important for emergency physicians to have a high index of suspicion so that they can promptly identify the offending drug and take corrective measures.en_US
dc.identifier.affiliationsDepartment of Emergency Medicine, Dr. DY Patil Medical College, Navi Mumbai.en_US
dc.identifier.citationLal Manu Mathew, Shah Manhar, Rajpal Deepali, Baviskar Ajit. Acute Delirium after Injectable Tramadol. Annals of International medical and Dental Research. 2018 Mar; 4(2): 10-11en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188495
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber2en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2018.4.2.ME3en_US
dc.titleAcute Delirium after Injectable Tramadolen_US
dc.typeJournal Articleen_US
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