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An update on delirium in the postoperative setting: Prevention, diagnosis and management.
MedLine Citation:
PMID:  23040284     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Delirium is a serious and pervasive problem in the postoperative setting. Research to date has identified a number of key risk factors implicated in the development of delirium after surgical intervention, including advanced age, pre-existing cognitive impairment, lower pre-morbid functional status and history of psychiatric illness. Efforts to prevent postoperative delirium in the form of multi-component programs and prophylactic administration of medications have yielded some positive results. Studies investigating the effectiveness of various antipsychotics in the treatment of postoperative delirium have demonstrated somewhat mixed outcomes. Recent research has identified more sophisticated management of pain and sedation protocols as a way to prevent or mitigate delirium, with promising results. This chapter reviews the most recent literature pertaining to the prevention, diagnosis and management of postoperative delirium.
Authors:
J Jewel Shim; Jacqueline M Leung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Best practice & research. Clinical anaesthesiology     Volume:  26     ISSN:  1878-1608     ISO Abbreviation:  Best Pract Res Clin Anaesthesiol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121446     Medline TA:  Best Pract Res Clin Anaesthesiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  327-43     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Psychiatry, University of California, San Francisco 401 Parnassus Ave, San Francisco, CA 94143, USA. Electronic address: jewels@lppi.ucsf.edu.
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