Anesthetic Practice Trends and Perceptions Toward Postoperative Delirium: A Mixed-Methods Analysis
Jacqueline Ragheb1, Alexandra E Norcott2,3, Mina Iskander4
1From the Department of Anesthesiology, Michigan Medicine, Ann Arbor, Michigan.
Anesthesia and Analgesia
|April 20, 2022
Summary
Anesthesiologist awareness of delirium prevention guidelines is variable, despite practice trends improving postoperative delirium care. Key barriers to identifying and preventing delirium persist, highlighting the need for better guideline dissemination and support systems.
Area of Science:
- Anesthesiology
- Geriatrics
- Neuroscience
Background:
- Postoperative delirium is a common complication in older adults.
- Anesthesiologist awareness of delirium prevention guidelines and practice trends is largely unknown.
- Understanding these factors is crucial for improving patient outcomes.
Purpose of the Study:
- To assess anesthesiologist awareness of delirium prevention guidelines.
- To examine practice trends related to postoperative delirium prevention.
- To identify barriers to implementing delirium prevention strategies.
Main Methods:
- A convergent mixed-methods study was employed.
- Quantitative data on perioperative practices (2009-2020) were analyzed from a large database.
- Anesthesiologist surveys and focus groups explored guideline awareness and practice challenges.
Main Results:
- Perioperative practices show trends toward improved delirium prevention, such as increased regional anesthesia use.
- Anesthesiologist awareness of delirium management guidelines was variable (54% aware).
- Lack of guideline awareness and system-based challenges were identified as key barriers.
Conclusions:
- While perioperative practices are evolving, anesthesiologist awareness of delirium guidelines remains inconsistent.
- Barriers to delirium identification and prevention persist, necessitating improved education and integrated support systems.
- Further research should focus on effective dissemination of guidelines and decision-support tools.
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