Document Detail

Recurrent delirium after surgery for congenital heart disease in an infant.
MedLine Citation:
PMID:  21336229     Owner:  NLM     Status:  Publisher    
OBJECTIVE:: The objective of this article is to describe a case of recurrent delirium after cardiac surgery in an infant. DESIGN:: Case report. The institutional review board at Children's Hospital Los Angeles waived the need for informed consent. SETTING:: •••. PATIENT:: A male infant with hypoplastic left heart syndrome who developed delirium on consecutive admissions to the cardiothoracic intensive care unit after cardiac surgery. INTERVENTION:: Pharmacologic intervention using the atypical antipsychotic olanzapine. MEASUREMENTS AND MAIN RESULTS:: The symptoms of delirium resolved with the initiation and continuation of olanzapine on both occasions. CONCLUSION:: Delirium is a common, but often unrecognized, diagnosis in the intensive care unit. Its early recognition and treatment may prevent unnecessary use of narcotics and benzodiazepines, decrease length of stay and may improve long-term neurocognitive function. This case report describes an infant who developed discrete, consecutive episodes of delirium following surgery for congenital heart disease. Both episodes were treated effectively with olanzapine.
Kevin Madden; Susan Turkel; Julienne Jacobson; David Epstein; David Y Moromisato
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-17
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  -     ISSN:  1529-7535     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From Children's Hospital Los Angeles (KM), Los Angeles, CA; and the Departments of Psychiatry (ST, JJ) and Pediatrics and Anesthesiology Critical Care Medicine (DE, DM), Children's Hospital Los Angeles, Los Angeles, CA.
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