Emergence delirium is associated with increased postoperative delirium in elderly: a prospective observational study

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Intraoperative burst suppression is associated with postoperative delirium following cardiac surgery: a prospective, observational study

BACKGROUND Postoperative delirium (POD) occurs frequently after cardiac surgery and is associated with increased morbidity and mortality. We analysed whether perioperative bilateral BIS monitoring may detect abnormalities before the onset of POD in cardiac surgery patients. METHODS In a prospective observational study, 81 patients undergoing cardiac surgery were included. Bilateral Bispectral...

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Postoperative delirium in the elderly.

Postoperative delirium is common in the elderly in the postoperative period. It can result in increased morbidity, delayed functional recovery, and prolonged hospital stay. In surgical patients, factors such as age, alcohol abuse, low baseline cognition, severe metabolic derangement, hypoxia, hypotension, and type of surgery appear to contribute to postoperative delirium. Anesthetics, notably a...

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Delirium is associated with early postoperative cognitive dysfunction.

The purpose of this analysis was to determine if postoperative delirium was associated with early postoperative cognitive dysfunction (at 7 days) and long-term postoperative cognitive dysfunction (at 3 months). The International Study of Postoperative Cognitive Dysfunction recruited 1218 subjects >or= 60 years old undergoing elective, non-cardiac surgery. Postoperatively, subjects were evaluate...

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Emergence Delirium

Emergence delirium (ED) also referred to as emergence agitation (EA) is a well documented phenomenon occurring in children and adults in the immediate postoperative period. With the recent popularity of the newer inhalation agents desflurane and sevoflurane, numerous clinical studies have been published questioning the association of these anesthetics with an increased incidence of emergence de...

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[Postoperative delirium].

This article reviews the incidence, pathophysiological hypotheses, and etiology of postoperative delirium, especially in the elderly. Preoperative, intraoperative, and postoperative risk factors for delirium following surgery are discussed. Results of various studies on postoperative delirium appear hardly comparable due to methodological and population differences. Therefore, it is difficult t...

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ژورنال

عنوان ژورنال: Journal of Anesthesia

سال: 2020

ISSN: 0913-8668,1438-8359

DOI: 10.1007/s00540-020-02805-8