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Recurrent delirium after surgery for congenital heart disease in an infant.
MedLine Citation:
PMID:  21336229     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
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:  -    
Affiliation:
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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