Case scenario: postoperative delirium in elderly surgical patients.
نویسندگان
چکیده
DELIRIUM is increasingly recognized as a major adverse event occurring postoperatively in elderly surgical patients. Once the diagnosis has been established, the main goal of delirium therapy is to identify important, potentially life-threatening, treatable, organic causes responsible for this syndrome. The purpose of this clinical pathologic conference is to highlight key points essential for the diagnosis and treatment of delirium occurring after anesthesia and surgery.
منابع مشابه
A study on the incidence of postoperative delirium in the operated patients in Kerman medical sciences university hospitals in 1999
Delirium is a syndrome consisting of cloudiness of consciousness,attention deficit,and cognitive impairment,with quick onset,but varring paths in its progression .delirium is more common after major surgeries in the elderly and hospitalized patients,resuting in high morbidity and mortality rates.the incidence rate that has been reported in previous studies varies from 1-3% in cataract surgery ...
متن کاملOutcomes of a Geriatric Liaison Intervention to Prevent the Development of Postoperative Delirium in Frail Elderly Cancer Patients: Report on a Multicentre, Randomized, Controlled Trial
BACKGROUND Delirium is a serious and common postoperative complication, especially in frail elderly patients. The aim of this study was to evaluate the effect of a geriatric liaison intervention in comparison with standard care on the incidence of postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. METHODS Patients over 65 ye...
متن کاملImpact of surgical approach on postoperative delirium in elderly patients undergoing gastrectomy: laparoscopic versus open approaches
BACKGROUND Postoperative delirium is a frequent complication in elderly patients undergoing major abdominal surgery and is associated with a poor outcome. We compared postoperative delirium in elderly patients following laparoscopic gastrectomy (LG) versus open gastrectomy (OG). METHODS In total, 130 patients aged ≥ 65 years with gastric cancer undergoing LG and OG were enrolled prospectively...
متن کاملImpact of a multifaceted program to prevent postoperative delirium in the elderly: the CONFUCIUS stepped wedge protocol
BACKGROUND Postoperative delirium is common in the elderly and is associated with a significant increase in mortality, complications, length of hospital stay and admission in long care facility. Although several interventions have proved their effectiveness to prevent it, the Cochrane advises an assessment of multifaceted intervention using rigorous methodology based on randomized study design....
متن کاملDeveloping a strategy to identify and treat older patients with postoperative delirium.
Postoperative delirium is one of the most common adverse outcomes in elderly patients undergoing surgery and is associated with increased morbidity, length of stay, and patient care costs. The purpose of this quality improvement project was to evaluate the effectiveness of a multicomponent strategy to identify and treat general surgical patients 65 years of age or older at risk for and who deve...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Anesthesiology
دوره 112 1 شماره
صفحات -
تاریخ انتشار 2010