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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
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Low-Dose Ketamine Infusion to Decrease Postoperative Delirium for Spinal Fusion Patients.

Sarah S Plyler, Virginia C Muckler, J Frank Titch

    Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
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    Summary
    This summary is machine-generated.

    A reduced dose ketamine protocol may decrease postoperative delirium incidence in spine surgery patients. This pilot study observed fewer delirium cases in the initial 90 minutes after surgery.

    Keywords:
    3D-CAMdeliriumketaminespinal fusion

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    Area of Science:

    • Anesthesiology
    • Neurosurgery
    • Geriatric Medicine

    Background:

    • Postoperative delirium is a common complication after spine surgery.
    • Effective prevention strategies are crucial for improving patient outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of a reduced dose ketamine protocol in decreasing the incidence of postoperative delirium.
    • To assess the impact of this protocol on opioid requirements in patients undergoing spine surgery.

    Main Methods:

    • Prospective preimplementation and postimplementation study design.
    • Inclusion of adult patients undergoing elective spinal fusion surgery.
    • Assessment of delirium using the 3-Minute Diagnostic Interview for Confusion Assessment Method Defined Delirium tool in the postanesthesia care unit (PACU).

    Main Results:

    • A statistically significant reduction in delirium incidence was observed at three time points: on arrival to the PACU, and at 60 and 90 minutes post-arrival.
    • Opioid requirements were also compared between groups.

    Conclusions:

    • This pilot study suggests that a reduced dose ketamine protocol may be effective in lowering the incidence of early postoperative delirium after spine surgery.
    • Further research is warranted to confirm these findings and explore the analgesic effects of the ketamine dose.