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Postoperative delirium.

Kimberly F Rengel1, Pratik P Pandharipande1, Christopher G Hughes1

  • 1Vanderbilt University Medical Center, department of anesthesiology, Nashville, TN, USA.

Presse Medicale (Paris, France : 1983)
|April 23, 2018
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Summary
This summary is machine-generated.

Perioperative delirium significantly impacts patient outcomes. Anesthesiologists must recognize risk factors, implement preventive strategies, and manage delirium, as it is often underdiagnosed despite available screening tools.

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Area of Science:

  • Anesthesiology
  • Geriatrics
  • Critical Care Medicine

Background:

  • Delirium is a common and serious complication in the perioperative period.
  • It negatively affects patient outcomes and increases healthcare costs.
  • Underdiagnosis of delirium is prevalent in the perioperative setting.

Purpose of the Study:

  • To emphasize the importance of anesthesiologists understanding delirium.
  • To outline key areas including definition, diagnosis, risk identification, and management.
  • To highlight the need for preventive strategies due to limited treatment options.

Main Methods:

  • This review synthesizes current knowledge on perioperative delirium.
  • It focuses on clinical recognition, risk stratification, and management strategies.
  • Available screening and assessment tools are discussed.

Main Results:

  • Delirium poses a significant threat to clinical outcomes.
  • Many tools exist to aid in delirium identification by non-psychiatric professionals.
  • Preventive measures are crucial due to limited effective pharmacological treatments.

Conclusions:

  • Anesthesiologists require comprehensive knowledge of delirium.
  • Early identification and prevention are paramount.
  • Proactive management strategies are essential for improving patient care and outcomes.