藉由標靶控制注射泵浦（target controlled infusion pump，簡稱TCI pump）用於propofol的靜脈鎮靜麻醉，造成甦醒期譫妄為一少見的併發症，但可能引起嚴重後果。在牙科門診，由於急救設備及醫療人員的不足，遇到此一狀況並不容易控制處理。而甦醒期譫妄的誘發因子很多，但對於病人曾發生甦醒期譫妄的經驗在過往文章並沒有強調。在這篇文章，一位曾發生甦醒期譫妄的病人，在較少誘發因子的情況執行鎮靜麻醉卻又經歷一次甦醒期譫妄。因此，基於安全的考量，牙科診間執行手術時，如病患曾有甦醒期譫妄的病史，我們建議避免使用鎮靜麻醉。( J. Family Dent. 8(2): 24-28, 2013 )

Emergence delirium is a rare adverse event after intravenous sedation by target controlled infusion pump with propofol but may lead to serious consequences. In a dental clinic, it is not easy to treat or control
this kind of complication due to insufficient resuscitative equipment and inadequate medical staff. The risk factors related to emergence delirium are multifaceted, but the experience of previous emergence delirium
is not emphasized. In this article, we present a case that a patient with the experience of previous emergence delirium suffered from another episode even though fewer risk factors present. Therefore, under safe consideration, we suggest that sedation for surgery should be avoided in a dental clinic if the patient had previous experiences of emergence delirium. ( J. Family Dent. 8(2): 24-28, 2013 )