| Recurrent delirium after surgery for congenital heart disease in an infant. | |
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MedLine Citation:
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PMID: 21336229 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kevin Madden; Susan Turkel; Julienne Jacobson; David Epstein; David Y Moromisato |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-17 |
Journal Detail:
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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:
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Created Date: 2011-2-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100954653 Medline TA: Pediatr Crit Care Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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