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Schizophrenia and anaesthesia
  1. Liew Sat Lin Constance,
  2. Meryl Grace Lansing,
  3. Foo Kiang Khor,
  4. Rajesh Kumar Muniandy
  1. Medical Based Department, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Rajesh Kumar Muniandy, rajeshkumar.ums{at}


Administering anaesthesia for elderly patients with chronic schizophrenia has always been a great challenge to anaesthetists. These patients will usually be on multiple antipsychotic drugs for many years and may lead to delayed awakening, cardiovascular instability, arrhythmias and sudden cardiac death during general anaesthesia. This case report is about the perioperative anaesthetic management of an elderly schizophrenic patient undergoing removal of femur implant. This article will explore important drug interactions and available options for a successful anaesthesia.

  • anaesthesia
  • drug interactions
  • schizophrenia

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  • Contributors All authors have contributed sufficiently to the project and have met all criteria to be included as authors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.