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Related Experiment Video

Updated: Jun 28, 2025

A Mouse Model of Orthopedic Surgery to Study Postoperative Cognitive Dysfunction and Tissue Regeneration

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How a single perioperative delirium case can make the difference.

A Juarez-Sanchez¹, V Heras Hernando¹, T Brunete Jimenez¹

¹Servicio de Anestesia, Reanimación y Terapéutica del Dolor, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), Spain.

Revista Espanola De Anestesiologia Y Reanimacion

|April 14, 2024

Summary

This summary is machine-generated.

Postoperative delirium in elderly patients during the COVID-19 pandemic can lead to serious central venous catheter events. A multidisciplinary team developed a risk stratification protocol to prevent future occurrences.

Keywords:

Case report Catéteres venosos centrales/efectos adversos Central venous catheters/adverse effects Delirio Delirium Informe de caso Patient safety Seguridad del paciente

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Area of Science:

Geriatric Medicine
Infectious Disease Epidemiology
Patient Safety

Background:

Delirium is a significant cause of perioperative morbidity and mortality, especially in elderly patients.
The COVID-19 pandemic presented unique challenges in managing patients at risk for delirium.
Central venous catheters are essential but carry risks, particularly in vulnerable patient populations.

Observation:

A serious event involving a central venous catheter occurred in an elderly male patient experiencing postoperative delirium.
The patient's altered consciousness and attention deficits exacerbated the situation.
This incident highlighted the critical need for enhanced vigilance in high-risk patients.

Findings:

The multidisciplinary committee's analysis identified delirium as a key factor in the central venous catheter event.
The complexity of managing elderly patients with delirium during a pandemic was underscored.
A novel risk stratification delirium protocol was developed as a direct outcome.

Implications:

The new protocol aims to proactively identify and manage delirium risk in elderly surgical patients.
Implementing this protocol can improve patient safety and reduce adverse events related to central venous catheters.
This approach offers a framework for mitigating delirium-associated risks in future healthcare crises.