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Acute postoperative delirium: definitions, incidence, recognition, and interventions
1University of Michigan Health System, Ann Arbor, MI, USA. dedeo@umich.edu
Summary
Emergence excitement, a postanesthesia complication, can sometimes lead to acute postoperative delirium. Identifying at-risk patients is key to preventing this potentially longer-lasting condition.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Geriatric Medicine
Background:
- Emergence excitement is a common postanesthesia complication.
- While often transient, it can progress to acute postoperative delirium.
- Postoperative delirium poses challenges in assessment and management, especially with decreasing hospital stays.
Purpose of the Study:
- To define acute postoperative delirium.
- To review its incidence, assessment, and recognition.
- To discuss interventions and future considerations for managing this complication.
Main Methods:
- Selective review of existing literature.
- Analysis of postanesthesia care and ambulatory surgery settings.
- Focus on identification of at-risk patients.
Main Results:
- Acute postoperative delirium is a distinct entity from emergence excitement.
- Incidence, assessment tools, and effective interventions require further investigation.
- Early identification of at-risk individuals is critical for prevention.
Conclusions:
- Acute postoperative delirium is a significant concern in postanesthesia care.
- Proactive identification and management strategies are essential.
- Further research is needed to optimize patient outcomes.