Relevant bibliographies by topics / Postoperative delirium

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  2. Dissertations / Theses
  3. Books
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Academic literature on the topic 'Postoperative delirium'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Postoperative delirium"

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Ren, Quan, Ya-zhou Wen, Jin Wang, Jing Yuan, Xu-hui Chen, Yubaraj Thapa, Meng-shuang Qiang, and Fei Xu. "Elevated Level of Serum C-reactive Protein Predicts Postoperative Delirium among Patients Receiving Cervical or Lumbar Surgery." BioMed Research International 2020 (August 10, 2020): 1–8. http://dx.doi.org/10.1155/2020/5480148.

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Objective. To explore the relationship between elevated serum C-reactive protein (CRP) level and postoperative delirium (POD). Methods. 206 patients scheduled to receive cervical or lumbar vertebra surgery under general anesthesia for more than 2 hours in a single medical center were observed and analyzed. Patients’ serum CRP, delirious status (using the confusion assessment method (CAM)), and delirious score (using the memorial delirium assessment scale (MDAS)) were examined before surgery and 1-2 days after surgery. The association of a serum CRP elevation value from before to after surgery (D-CRP) with delirium occurrence within 2 days after surgery was assessed with a binary logistic regression model, while the association of D-CRP with the postoperative delirious score was assessed with a linear regression model. The effect of D-CRP on predicting delirium occurrence was evaluated with the area under the receiver operating characteristic (ROC) curve (AUC). Results. D-CRP was significantly positively associated with postoperative delirium occurrence (OR=1.047, 95%CI=1.013, 1.082), and D-CRP was also significantly linearly associated with the postoperative delirious score (β=0.014, 95%CI=0.006, 0.023). AUC of ROC was 0.711 (P=0.014), suggesting that D-CRP had moderate efficacy on predicting postoperative delirium occurrence (P<0.05). Conclusions. Elevated serum CRP after surgery may be a risk factor for and a predictor of postoperative delirium.
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Cavaliere, F., F. D'Ambrosio, C. Volpe, and S. Masieri. "Postoperative Delirium." Current Drug Targets 6, no. 7 (November 1, 2005): 807–14. http://dx.doi.org/10.2174/138945005774574489.

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Oh, Seung-Taek, and Jin Young Park. "Postoperative delirium." Korean Journal of Anesthesiology 72, no. 1 (February 1, 2019): 4–12. http://dx.doi.org/10.4097/kja.d.18.00073.1.

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Winawer, Neil. "POSTOPERATIVE DELIRIUM." Medical Clinics of North America 85, no. 5 (September 2001): 1229–39. http://dx.doi.org/10.1016/s0025-7125(05)70374-6.

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Rengel, Kimberly F., Pratik P. Pandharipande, and Christopher G. Hughes. "Postoperative delirium." La Presse Médicale 47, no. 4 (April 2018): e53-e64. http://dx.doi.org/10.1016/j.lpm.2018.03.012.

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Tune, Larry E. "Postoperative Delirium." International Psychogeriatrics 3, no. 2 (December 1991): 325–32. http://dx.doi.org/10.1017/s1041610291000777.

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Postoperative delirium is a common syndrome that is often mistaken for other psychiatric conditions, particularly depression. Numerous investigators have found a clear convincing association between delirium and increased morbidity and mortality. For this reason, greater attention should be focused on accurate clinical diagnosis. In this article, pre- and postoperative risk factors are reviewed. Lastly, areas demanding immediate further investigation are identified. In particular, outcome studies with particular emphasis on the role of age and prior drug exposure are urgently needed.
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McDaniel, Mathew, and Charles Brudney. "Postoperative delirium." Current Opinion in Critical Care 18, no. 4 (August 2012): 372–76. http://dx.doi.org/10.1097/mcc.0b013e3283557211.

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Fricchione, Gregory L., Shamim H. Nejad, Justin A. Esses, Thomas J. Cummings, John Querques, Ned H. Cassem, and George B. Murray. "Postoperative Delirium." American Journal of Psychiatry 165, no. 7 (July 2008): 803–12. http://dx.doi.org/10.1176/appi.ajp.2008.08020181.

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DOB, D. "Postoperative delirium." British Journal of Anaesthesia 73, no. 3 (September 1994): 431. http://dx.doi.org/10.1093/bja/73.3.431-a.

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BROCK-UTNE, J. G. "Postoperative delirium." British Journal of Anaesthesia 73, no. 4 (October 1994): 565. http://dx.doi.org/10.1093/bja/73.4.565.

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Dissertations / Theses on the topic "Postoperative delirium"

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Fuller, Valerie J., and Valerie J. Fuller. "The Patient Experience of Postoperative Delirium." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625719.

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Background: Postoperative delirium (POD) is a common neurocognitive disorder in patients undergoing surgical procedures. Delirium is a disorder that is poorly understood, frequently unrecognized and associated with numerous adverse outcomes including longer hospital stays, significantly higher costs and increased morbidity and mortality. While there has been a great deal of research on proposed etiologies, risk factors and outcomes of delirium, few studies have explored the patient’s subjective experience of the phenomenon. Purpose: The purpose of this qualitative descriptive research was to investigate the patient experience of postoperative delirium and measure the distress associated with the experience. The Delirium Symptoms Experience Model (DSEM) provided the theoretical framework in which to understand the postoperative delirium experience. The three specific aims used to guide the investigation were: 1) Identify patient age, gender, race, type and length of surgery, past medical and surgical history, length of admission, delirium subtype (if known), and medications (including anesthetic agents) used in the perioperative period to better characterize the sample and provide context for the qualitative findings; 2) Describe the postoperative patients’ experience of being and feeling delirious; and, 3) Measure the distress associated with the recall of delirium using the Delirium Experience Questionnaire (DEQ) Methods: Ten participants ranging in age from 33-75 years (mean = 66.2 years of age) who experienced postoperative delirium were interviewed. Patients were screened for persistent delirium or cognitive impairment as assessed with the Confusion Assessment Method and the Mini-Cog™ Instruments. Results: Three organizing themes emerged from the content analysis: 1) Altered Perceptions of Reality; 2) Stuck in the Confusion; and, 3) Seeking Reality. The analysis of the quantitative measures and descriptive data demonstrated a high rate of psychological distress associated with delirium recall with 80% participants reporting it caused severe to very severe distress. The anesthetic drug propofol was the common medication prescribed in the perioperative period and given to all ten participants. Conclusion: Understanding this phenomenon from the patients’ perspective may provide a better understanding of the delirium experience and aid in the development of interventions and treatments to improve care and reduce suffering.
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Snell, Jennifer Miranda. "Pediatric Emergence Delirium in the Postoperative Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3921.

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Emergence delirium (ED), also known as emergence agitation, is a postoperative condition characterized by aberrant cognitive and psychomotor behaviors following general anesthesia. The incidence of ED is 3 to 8 times higher in children 5 years of age or less. There is no standard of nursing practice for managing ED symptoms in the pediatric surgical population. The purpose of this quality improvement project was to address a gap in knowledge needed to inform clinical decision-making when managing ED in the postoperative setting. Using an educational presentation for post anesthesia care unit (PACU) nurses, this project introduced the use of non-pharmacological interventions to mitigate symptoms of ED in the pediatric population as inspired by The Green Star Initiative, an Army program at Fort Carson. The project aim was to describe the effectiveness of ED-specific interventions from the nursing perspective. Using tenets of the Iowa model, this quality improvement project included a needs assessment survey, PowerPoint presentation, parent education leaflet, ED cheat sheet, and a post-intervention survey. Applying the context, input, process, product model for evaluation, this project increased knowledge of ED-specific interventions used by nurses that demonstrates a change in clinical decision-making. PACU nurses rated the interventions 43% effective on pediatric patients. This project addressed the gap in practice by providing structured education on ED, inspiring the use of ED-specific interventions, and promoting readiness to care for the pediatric surgical population. Outcomes add to the nursing literature by introducing ED-specific interventions to manage pediatric ED in facilities nationwide. A social implication of this project is to improve the care of pediatric surgical patients.
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Markström, Söder Erika, and Jon Melin. "Äldres erfarenheter av postoperativt delirium : en litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178142.

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Bakgrund: Delirium är ett akut tillstånd som kan drabba olika individer. Tillståndet ärvanligt förekommande på intensivvårdsavdelningar och uppvaknings avdelningar ochpåverkar individens tankeverksamhet och koncentrationsförmåga vilket kan leda tillförvirring. Om tillståndet förekommer efter en operation benämns det som Postoperativtdelirium (POD). POD beskrivs som ett tillstånd som förlänger patientens sjukhusvistelseoch ökar dödligheten och drabbar främst äldre. Syfte: Att beskriva äldre patienters erfarenheter av postoperativt delirium. Metod: Denna litteratursammanställning baseras på nio kvalitativa studier. Studiernahittades i två databaser, Cinahl och Pubmed samt via manuella sökningar av referenslistor.Analysen genomfördes med Fribergs modell för analys av kvalitativa studier. Resultat: Genom analysen skapades tre huvudkategorier och nio subkategorier.Huvudkategorierna var: ‘Känslomässiga reaktioner’, ‘Kroppsliga obehag’ samt ‘Viktigtstöd’. Konklusion: Patienter behöver mer information gällande POD för att förstå sin situationbättre och kunna delta i sin egen vård. Vårdpersonal behöver mer utbildning för att förståpatientens behov under POD samt för att kunna förmedla kunskap om POD till anhöriga.En ökad kunskap kan även reducera kostnader för verksamheter där POD förekommer.Vidare forskning bör belysa hur patienter och verksamheten påverkas av att ge informationtill patienter angående POD.
Background: Delirium is an acute condition that can affect different individuals. Thecondition is common in intensive care units and wake-up wards and affects the individual'sthinking activity and ability to concentrate witch leads to confusion. If the condition occursafter surgery, it is referred to as Postoperative Delirium (POD). POD is described as acondition that prolongs the patient's hospital stay and increases mortality and mainlyaffects the elderly. Aim: To describe elderly patients´experiences of postoperative delirium. Methods: This literature review is based on nine qualitative studies. The studies werefound in two databases, Cinahl, Pubmed and also via manual searches of reference lists.The analysis was performed with Friberg's model for analysis of qualitative studies. Results: The analysis created three main categories and nine subcategories. The maincategories were: ‘Emotional reactions’, ‘Physical discomfort’ and ‘Significant support’. Conclusion: Patients need more information regarding POD to better understand theirsituation and be able to participate in their own care. Nursing staff need more training tounderstand the patient's needs during POD and to be able to convey knowledge about PODto relatives. Increased knowledge can also reduce costs for operations where POD occurs.Further research should shed light on how patients and operations are affected byproviding information to patients regarding POD.

Pågrund av pågående pandemi hölls presentationen av examensarbetet via zoom möte.

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Lukas, Yani Stella <1976&gt. "Risk factors for postoperative delirium in the elderly." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2011. http://amsdottorato.unibo.it/3578/.

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Background: Delirium is defined as an acute disorder of attention and cognition. Delirium is common in hospitalized elderly patient and is associated with increased morbidity, length of stay and patient care costs. Although Delirium can develop at any time during hospitalization, it typically presents early in the post-operative period (Post-Operative Delirium, POD) in the surgery context. The molecular mechanism and possible genetics basis of POD onset are not known, as well as all the risk factors are not completely defined. Our hypothesis is that genetic risk factor involving the inflammatory response could have possible effects on the immunoneuroendocrine system. Moreover, our previous data (inflamm-aging) suggest that aging is associated with an increase of inflammatory status, favouring age-related diseases such as neurodegenerative diseases, frailty, depression among other. Some pro-inflammatory or anti-inflammatory cytokines, seem to play a crucial role in increasing the inflammatory status and in the communication and regulation of immunoneuroendocrine system. Objective: this study evaluated the incidence of POD in elderly patients undergoing general surgery, clinical/physical and psychological risk factors of POD insurgency and investigated inflammatory and genetic risk factors. Moreover, this study evaluated the consequence of POD in terms of institutionalization, development of permanent cognitive dysfunction or dementia and mortality Methods: patients aged over 65 admitted for surgery at the Urgency Unit of S.Orsola-Malpighi Hospital were eligible for this case–control study. Risk factors significantly associated with POD in univariate analysis were entered into multivariate analysis to establish those independently associated with POD. Preoperative plasma level of 9 inflammatory markers were measured in 42 control subjects and 43 subjects who developed POD. Functional polymorphisms of IL-1 α , IL-2, IL-6, IL-8, IL-10 and TNF-alpha cytokine genes were determined in 176 control subjects and 27 POD subjects. Results: A total of 351 patients were enrolled in the study. The incidence of POD was 13•2 %. Independent variables associated with POD were: age, co-morbidity, preoperative cognitive impairment, glucose abnormalities. Median length of hospital stay was 21 days for patients with POD versus 8 days for control patients (P < 0•001). The hospital mortality rate was 19 and 8•4 % respectively (P = 0•021) and mortality rate after 1 year was also higher in POD (P= 0.0001). The baseline of IL-6 concentration was higher in POD patients than patients without POD, whereas IL-2 was lower in POD patients compared to patients without POD. In a multivariate analysis only IL-6 remained associated with POD. Moreover IL-6, IL-8 and IL-2 are associated with co-morbidity, intra-hospital mortality, compromised functional status and emergency admission. No significant differences in genotype distribution were found between POD subjects and controls for any SNP analyzed in this study. Conclusion: In this study we found older age, comorbidity, cognitive impairment, glucose abnormalities and baseline of IL-6 as independent risk factors for the development of POD. IL-6 could be proposed as marker of a trait that is associated with an increased risk of delirium; i.e. raised premorbid IL-6 level predict for the development of delirium.
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Innervik, Sanna, and Helena Lewin. "Postoperativt Delirium : Intervention och prevention ur ett omvårdnadsperspektiv." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-398151.

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Postoperative delirium is a common complication that occurs in elderly patients undergoing surgery with anaesthesia. This condition causes feelings of fear, discomfort and suffering for the patient. The aim with this study was to describe what interventions that can be used to prevent or treat postoperative delirium and what effect they have on the condition. This study is a systematic review with a descriptive design which examines existing research on nursing interventions with the aim of preventing and treating postoperative delirium. The study is based on nine scientific original articles, seven were randomized controlled trials and two were quasi experimental studies. The literature search was made through Cinahl, psycINFO and PubMed. When all studies had been examined the results showed multiple interventions and most of them had a preventive or treating effect on postoperative delirium. The interventions focus on different ways to affect the condition. Some of them are geriatric consultation, music therapy and family as caregivers. Postoperative delirium can be both prevented and treated through different kinds of interventions. This study contributes to expanded knowledge on how the condition can be managed, however further research is needed to provide increased evidence and prove which interventions that can provide the most effective affect on postoperative delirium.
Postoperativt delirium är en vanlig komplikation hos äldre som genomgått någon form av kirurgi under anestesi. Tillståndet innebär rädsla, obehag och lidande för patienten. Syftet med studien är att beskriva vilka omvårdnadsinterventioner som finns för att förebygga och behandla postoperativt delirium samt vilken effekt dessa har. Denna studie är en litteraturöversikt med beskrivande design som undersöker befintlig forskning kring omvårdnadsinterventioner med syfte att förebygga och behandla postoperativt delirium. Studien består av nio vetenskapliga originalartiklar, sju var randomiserade kontrollerade studier och två var kvasiexperimentella studier. Datainsamlingen genomfördes i databaserna Cinahl, psycINFO och PubMed. Efter att samtliga studier granskats framkommer ett resultat med flera olika omvårdnadsinterventioner där majoriteten har förebyggande eller behandlande effekt på postoperativt delirium. De interventioner som resultatet baseras på använder sig av olika sätt som tillståndet kan påverkas av. Några av dessa är geriatrisk konsultation, musikterapi och anhörig som vårdgivare. Postoperativt delirium kan förebyggas och behandlas på olika sätt via omvårdnadsinterventioner. Denna studie kan ge läsaren ökad kunskap om hur tillståndet kan hanteras, dock krävs det ytterligare forskning inom området för att ge ökad evidens och fastställa vilka typer av interventioner som har störst inverkan på postoperativt delirium.
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Cardholm, Ann-Christin. "Postoperativt delirium efter höftfraktur : Prevention och bemötande." Thesis, Stockholm University, Department of Education in Arts and Professions, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-8673.

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Akut förvirring hos höftfrakturpatienter är vanlig. Den akuta förvirringen kan förebyggas eller kortas och rehabiliteringstiden kan då också kortas. Ett förvirringstillstånd innebär stora påfrestningar på kroppen. Syftet med denna litteraturstudie är att se hur litteraturen beskriver hur man kan ge en god postoperativ omvårdnad och ett gott bemötande till de patienter som drabbas eller riskerar att drabbas av postoperativ förvirring. Till grund för arbetet ligger ett antal vetenskapliga artiklar samt facklitteratur. Trots att den postoperativa förvirringen är mycket vanlig, att den orsakar stort lidande och stora vårdkostnader, saknas tillfredsställande studier som kan ligga till grund för farmakologiska behandlingsrekommendationer. Oaktat detta ges ofta farmaka till dessa patienter. Enligt litteraturen har sjuksköterskans möte med den deliriösa patienten stor betydelse för att förebygga och lindra ett förvirringsbeteende. Eftersom det saknas riktlinjer för omvårdnad av akut förvirrade patienter beror det på den enskilda sjuksköterskans bemötande hur mötet med patienten blir. Den postoperativa förvirringen måste lyftas fram eftersom antalet patienter med höftfrakturer ständigt ökar. Rutiner och vårdprogram måste tas fram eller ses över. Vi måste lära oss att bemöta dessa patienter på ett professionellt sätt. Att möta den förvirrade höftledspatienten på ett etiskt och förberett sätt är en förutsättning för en bra vård.

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Lenoir, Lisette, and Heidi Pisto. "Övervakning, tidig upptäckt och omvårdnad av patienter med risk för postoperativ konfusion : En kvalitativ intervjustudie med sjuksköterskor på postoperativa avdelningar." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-323406.

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Bakgrund: Postoperativ förvirring är en vanligt förekommande komplikation på postoperativa vårdavdelningar. Ökad kunskap om postoperativ förvirring och hur tillståndet kan förebyggas, upptäckas och behandlas kan förkorta vårdtider, minska andra allvarliga postoperativa komplikationer samt minska kostnaderna för sjukvården. Syfte: Syftet var att undersöka vilka omvårdnadsstrategier och omvårdnadsåtgärder sjuksköterskor använder för att förebygga, upptäcka och behandla postoperativ förvirring och därmed minska onödigt lidande för patienterna på postoperativa avdelningar. Metod: Metoden var en kvalitativ intervjustudie med åtta sjuksköterskor på två postoperativa avdelningar på ett sjukhus i Mellansverige. En kvalitativ innehållsanalys användes för analysering av insamlade data. Resultat: Resultatet visade att sjuksköterskor hade olika omvårdnadsstrategier för omhändertagandet av patienter med risk för postoperativ förvirring samt med förvirrade patienter. Innehållsanalysen resulterade i sex kategorier; 1. Att se patienten, 2. Att förebygga, 3. Att upptäcka, 4. Att behandla, 5. Hinder för omvårdnad samt 6. Sjuksköterskans behov för att kunna ge omvårdnad. Slutsats: Resultatet visade att sjuksköterskor ansåg att tidigt upptäckt av postoperativ förvirring är viktigt eftersom förvirringen kan leda till vårdskador och andra komplikationer. En tydlig strategi för att screena riskpatienter och för att upptäcka och behandla förvirring saknades och inget bedömningsinstrument för att mäta graden av förvirring användes. Sjuksköterskor önskade mer resurser för att kunna upptäcka och behandla postoperativ förvirring samt att postoperativ förvirring fick större fokus på avdelningen.
Background: Postoperative confusion is a common complication in postoperative care units. Increased knowledge of prevention, detection and treatment of postoperative can shorten hospitalization for these patients and reduce other serious postoperative complications and costs to healthcare. Purpose: The aim of this study was to investigate which nursing strategies and nursing measures nurses use to prevent, detect and treat postoperative confusion, and thereby reduce unnecessary suffering for patients in postoperative care unit. Method: The method used was a qualitative interview study including eight nurses at two postoperative care units at a hospital central Sweden. A qualitative content analysis was used for analysis of the collected data. Results: The results showed that nurses had different nursing strategies for the treatment of patients at risk for postoperative confusion and for confused patients. The content analysis resulted in six categories; 1. To see the patient , 2. To prevent, 3. To detect, 4. To treat, 5. Complications to nursing, and 6. Nurse’s needs to provide nursing. Conclusion: Nurses considered that early detection of postoperative confusion is important because confusion can lead to care injuries and other complications. A clear strategy for screening risk patients, detecting and treating of confusion was missing. No assessment tool was used för measuring the grade of confusion. Nurses wanted more resources to detect and treat postoperative confusion and more focus on postoperative confusion on care units.
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Ljung, Isabel, and Hanna Eriksson. "Patienters upplevelser av delirium i samband med vård på somatisk vårdavdelning : - en litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-339289.

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Bakgrund: Delirium är ett vanligt förekommande tillstånd inom somatisk vård. År 2016 var 85 % av patienterna som diagnosticerades med delirium i Sverige 70 år eller äldre. Det finns många olika faktorer som bidrar till uppkomsten av delirium, bland annat hög ålder, hypertoni, att genomgå kirurgi, tidigare hjärtsjukdom eller stroke och kognitiva nedsättningar.  Syfte: Syftet med studien var att undersöka patienters upplevelse av delirium. Metod: En litteraturstudie där resultatet grundas på tio kvalitativa originalartiklar med intervjustudie som metod. Artiklarna söktes i databaserna PubMED, CINAHL och PsycINFO. Resultat: Fyra huvudkategorier framkom vid granskning av resultatet; Upplevelser av en förändrad verklighet, Upplevelser av starka känslor, Upplevelser av att minnas tillbaka och Upplevelser av bemötande. Patienterna beskrev starka känslor av rädsla, oro och ilska i samband med delirium. Känslor av isolering och otrygghet förekom när patienternas verklighetsuppfattning var nedsatt. Rädsla kunde uttryckas genom aggressivitet vilket kan bidra till stigmatisering och försvårande omständigheter för patienten. Lugn, närvaro och säkerhet hos sjuksköterskan ingav patienterna trygghet. Att minnas tillbaka på delirium orsakade känslor av skam, skuld och ånger. Några förnekade att de haft delirium medan andra uppskattade att samtala om sina upplevelser. Sjuksköterskans kompetens hade stor betydelse för patienternas upplevelser av bemötande. Slutsats: Upplevelsen av delirium är individuell. Att bli bekräftad och sedd som en unik individ beskrevs av patienterna leda till ökat välbefinnande. Sjuksköterskan har en viktig roll i att informera och stötta patienten för att minska stigmatisering och lidande. Det är också betydelsefullt att sjuksköterskan behandlar patienternas upplevelser med respekt.
Background: Delirium is a common condition within somatic care. In 2016 85 % of patients diagnosed with delirium in Sweden were 70 years of age or older. There are many different factors that contribute to the onset of delirium, including high age, hypertension, undergoing surgery, previous heart disease orr stroke and cognitive impairments. Aim: The aim of the study was to explore patients’ experiences of delirium. Method: A literature study where the result is based on ten qualitative original articles with interviews as a method. The articles were searched in the databases PubMED, CINAHL and PsycINFO. Results: Four main categories emerged when reviewing the results; Experiences of a Changed Reality, Experiences of Strong Emotions, Remains of Remembrance and Experiences of Personal Treatment. Patients described strong feelings of fear, concern and anger associated with delirium. Feelings of isolation and insecurity occurred when the patient's perception of reality was reduced. Fear could be expressed through aggressiveness, which could contribute to stigmatization and aggravating circumstances for the patient. The calm, presence and safety of the nurse provided patients with security. Recalling delirium caused feelings of shame, guilt and regret. Some denied that they had delirium while others appreciated talking about their experiences. Nursing skills were of great importance to the patient's experiences of treatment. Conclusion: The experience of delirium is individual. Becoming confirmed and seen as a unique individual was described by patients leading to increased well-being. The nurse has an important role in informing and supporting the patient to reduce stigmatization and suffering. It is also important that the nurse treats the patient's experiences with respect.
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Schneider, Moritz [Verfasser]. "Das frühe postoperative Delirium : Vergleich des Nursing Delirium Screening Scale und der Confusion Assessment Method / Moritz Schneider." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2009. http://d-nb.info/1027813674/34.

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Johansson, Felix, and Simon Thunberg. "Föräldrars betydelse i vården av barn med delirium som vårdas inom intensivvårdsmiljö." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-388845.

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Bakgrund: Delirium är en vanligt förekommande komplikation både i barnintensivvården och barnoperationsvården. Det orsakar stort lidande hos de påverkade barnen både emotionellt och fysiskt, samt ökar delirium vårdtiden och orsakar en ökad mortalitet. Syfte: Att presentera vilka omvårdnadsåtgärder som kan förebygga delirium hos barn samt undersöka vad som påverkar vårdrelationen mellan barnet, familjen och sjuksköterskan vid omvårdnad och behandling av delirium i en intensivvårdsmiljö. Metod: Litteraturstudie baserad på kvantitativa studier analyserad med innehållsanalys. Resultat: Analysen resulterade i tre teman: effekten av föräldrars involvering på barn med delirium, övriga effekter av föräldrars involvering i vården av barn och betydelsen för ökad involvering för föräldrarna. Ökad involvering av föräldrarna i den pre och postoperativa vården gav en signifikant förbättring av postoperativt delirium hos barnet, under förutsättning att föräldrarna fått utbildning och blivit förberedda hur de skulle agera. Den ökade involveringen av föräldrar sågs som positivt av både föräldrar och personal. Analysen resulterade inte i några specifika omvårdnadsåtgärder som kan förebygga delirium hos barn. Slutsats: Föräldrar bör få möjligheten att vara så nära sina barn som möjligt och vara involverade i vården på barnintensivvårdsavdelning eller i den pre- och postoperativa vården. För att minska risken att barn drabbas av delirium finns behov av att utbilda och förbereda föräldrarna.
Background: Delirium is a common complication at both pediatric intensive care units and pediatric postoperative units and it is causing huge amount of increased suffering for the affected children. Not only the emotional and physical suffering, but also increased time needed to stay in the PICU and increased mortality. Aim: To examine which nursing actions can prevent emergence delirium in children and to examine the importance of the care relationship between the child, the family and the nurse in the care and treatment for delirium. Method: A literature review with a quantitative approach, analyzed with content analysis. Results: The analysis resulted in three themes. The effect of parental involvement on the delirium of children, other effects on the involvement of parents in the care of children and the meaning of the involvement for the parents. The involvement of parents in children pre and postoperative had a significant decrease of delirium and negative behavior under the condition that the parents were prepared and active in their role as a support for their children. The increase parental involvement was viewed as positive from both parents and nurses. Analysis did not find any nursing actions to prevent delirium for children Conclusion: Parents should be able to be as close and involved in the care for their children in a PICU or in the pre and postoperative care as it is possible, and the need to educate and prepare the parents in order to decrease the risk for the children to suffer from delirium.
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Books on the topic "Postoperative delirium"

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Alvis, Bret D., and Christopher G. Hughes. Delirium. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0061.

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Delirium in the postoperative period, characterized by inattention, disorganized thinking, disorientation, and/or altered levels of consciousness within the first few days after surgery, has been associated with significant increases in hospital stay, functional decline, prolonged cognitive dysfunction, and mortality. It is underdiagnosed without routine assessments with validated tools such as the Confusion Assessment Method (CAM), the 4AT, the Confusion Assessment Method for Intensive Care Unit (CAM-ICU), or the Intensive Care Delirium Screening Checklist (ICDSC). Prevention strategies for postoperative delirium include multimodal pain control, judicious use of medications that affect the sensorium, including benzodiazepines and anticholinergics, maintenance of appropriate volume status, and optimization of the patient’s environment. In patients who develop delirium with severe agitation, antipsychotic and alpha-2 agonist medications may be useful. Because postoperative delirium occurs commonly and is associated with worse outcomes, an understanding of its disease process, risk factors, and management is essential for an anesthesiologist.
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Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Postoperative care and analgesia. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.003.0011.

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There are many reasons for delayed recovery, but, usually, it is due to residual effects of anaesthetic agents/premedication. There are guidelines for recognizing and managing these cases. Emergence delirium may be dangerous, and it should be recognized and treated as an emergency. Elderly patients may have impaired hearing and vision. Spectacles and hearing aids should be given back to them as soon as possible in the recovery area to limit disorientation. Pain and its intensity may be difficult to recognize and quantify in the elderly. Increased inter-individual variability in the elderly means that titration to effect rather than a fixed dosage is essential, and when the mental status of the patient allows it, patient-controlled analgesia (PCA) is quite appropriate.
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Jagmin, Marianne Louise. THE IMPACT OF AGE AND TIME OF DAY ON DELIRIUM IN ELDERLY POSTOPERATIVE HIP SURGERY PATIENTS. 1996.

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Krashin, Daniel, Natalia Murinova, and Alan D. Kaye. Prevention of Adverse Effects in Perioperative Pain Management for General and Plastic Surgeons. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190457006.003.0018.

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Postoperative pain management is a key part of perioperative care. Inadequately controlled pain contributes to poor outcomes and patient satisfaction. Overmedication with opioids for postoperative pain also leads to complications and slows recovery. Perioperative pain care starts with thorough evaluation at the preoperative visit. Multimodal pain treatment reduces the reliance on opioids and tends to improve outcomes. Many complicating factors, including pregnancy, comorbid psychological and medical conditions, addiction, and chronic opioid therapy need to be identified and addressed in a personalized pain plan. Complications including delirium and opioid-induced respiratory suppression are also discussed.
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Hagerman, Nancy S., and Anna M. Varughese. Preoperative Anxiety Management. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0001.

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Up to 65% of pediatric patients experience anxiety and fear in the preoperative period, especially during anesthesia induction. Reasons for this anxiety include the child's perception of the threat of pain, being separated from parents, a strange environment, and losing control. Anxiety and poor behavioral compliance associated with inhalation inductions have been related to adverse outcomes including emergence delirium and maladaptive postoperative behaviors such as general and separation anxiety, eating difficulties, and sleep disturbances. Fortunately, there are behavioral and pharmacological interventions that anesthesiologists can use to improve compliance during induction.
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Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Cognitive dysfunction and sleep disorders. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.003.0014.

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Cognitive dysfunction is largely a problem in the elderly, but it can occur at any age. The two major presentations, delirium and postoperative cognitive dysfunction (POCD), are compared. Risks for delirium are explored; key points from the patient’s history and possible ways to ameliorate the onset are then reviewed. The presentation of POCD is described, and the lack of our understanding of its causes is highlighted. Known triggers such as centrally active anticholinergic drugs or pain are identified. Current thinking in the inflammatory responses within microglia and astrocytes is summarized. Sleep in the elderly is contrasted with that in younger persons, and the main stages of sleep, SWS and REM, described. The impact and importance of the effects that surgery/anaesthesia has on sleep stages is reviewed. Obstructive sleep apnoea is described, including its effect on the safety of anaesthesia and recovery. Periodic limb movement disorders and early Parkinson disease are described.
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Book chapters on the topic "Postoperative delirium"

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White, Andrew A. "Postoperative Delirium." In The Perioperative Medicine Consult Handbook, 243–49. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-3220-3_38.

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White, Andrew A., and Tyler Lee. "Postoperative Delirium." In The Perioperative Medicine Consult Handbook, 273–77. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-09366-6_46.

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Cavaliere, Franco. "Postoperative Delirium." In Topical Issues in Anesthesia and Intensive Care, 155–63. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31398-6_10.

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Humeidan, Michelle, and Stacie G. Deiner. "Postoperative Delirium." In Principles and Practice of Geriatric Surgery, 395–409. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-47771-8_23.

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Humeidan, Michelle, and Stacie G. Deiner. "Postoperative Delirium." In Principles and Practice of Geriatric Surgery, 1–15. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-20317-1_23-1.

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Merel, Susan E., Tyler Y. M. Lee, and Andrew A. White. "Postoperative Delirium." In The Perioperative Medicine Consult Handbook, 413–22. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-19704-9_53.

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Kapoor, Alok, and Joleen Elizabeth Fixley. "Postoperative Delirium." In Perioperative Medicine, 531–42. London: Springer London, 2011. http://dx.doi.org/10.1007/978-0-85729-498-2_44.

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Umholtz, Matthew, and Nader D. Nader. "Postoperative Delirium and Postoperative Cognitive Dysfunction." In General Anesthesia Research, 239–53. New York, NY: Springer US, 2019. http://dx.doi.org/10.1007/978-1-4939-9891-3_15.

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Ida, Mitsuru, and Masahiko Kawaguchi. "Prevention and Treatment of Postoperative Delirium and Postoperative Cognitive Dysfunction." In Anesthesia and Neurotoxicity, 121–32. Tokyo: Springer Japan, 2017. http://dx.doi.org/10.1007/978-4-431-55624-4_8.

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Egi, Moritoki. "Present Clinical Status of Postoperative Delirium (POD)." In Anesthesia and Neurotoxicity, 51–58. Tokyo: Springer Japan, 2017. http://dx.doi.org/10.1007/978-4-431-55624-4_4.

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Conference papers on the topic "Postoperative delirium"

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Khandelwal, R. "29 Postoperative delirium: a surgeon’s dilemma." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.29.

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Saleh, Amin Jabir, Yangwen Ou, and Marab Younis Abdulah Al-Fathy. "Notice of Retraction: Postoperative Delirium of Older Surgical Patient." In 2011 5th International Conference on Bioinformatics and Biomedical Engineering. IEEE, 2011. http://dx.doi.org/10.1109/icbbe.2011.5781433.

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Ma, Owen, Arindam Dutta, Daniel W. Bliss, and Amy Z. Crepeau. "Predicting postoperative delirium in patients undergoing deep hypothermia circulatory arrest." In 2017 51st Asilomar Conference on Signals, Systems, and Computers. IEEE, 2017. http://dx.doi.org/10.1109/acssc.2017.8335566.

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Kohistani, Z., S. Repschläger, W. Kai, W. Schiller, A. Welz, H. Treede, and S. Kebir. "Postoperative Delirium Prediction through Machine Learning in Patients Undergoing Aortocoronary Bypass Surgery." In 50th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery (DGTHG). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1725694.

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Krüger, T., O. Forkavets, S. Brefka, L. Conzelmann, C. Thomas, U. Mehlhorn, A. Liebold, C. Schlensak, and G. Eschweiler. "Postoperative Delirium and Cognitive Dysfunction after On- and Off-Pump CABG Surgery: A Prospective Trial in Aged Patients." In 49th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1705402.

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Choi, YJ, HW Kang, JY Park, SJ Park, BH Kim, and SJ Jin. "ESRA19-0020 The effect anesthetic method on the incidence of postoperative delirium in patients with total hip replacement arthroplasty in south korea." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.113.

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Tafelmeier, Maria, Marvin Knapp, Simon Lebek, Bernhard Floerchinger, Daniele Camboni, Marcus Creutzenberg, Sigrid Wittmann, et al. "Predictors of postoperative delirium after elective coronary artery bypass grafting surgery in patients with and without sleep-disordered breathing – a prospective observational study." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa898.

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Yoshimura, M., H. Shiramoto, M. Koga, A. Yoshimatsu, and Y. Morimoto. "5 Comparison of peripheral nerve block with general anesthesia and general anesthesia alone in terms of postoperative delirium and complications using a nationwide database." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.5.

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Reports on the topic "Postoperative delirium"

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Harris, Gregory, Brooke Hatchell, Davelin Woodard, and Dwayne Accardo. Intraoperative Dexmedetomidine for Reduction of Postoperative Delirium in the Elderly: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0010.

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Background/Purpose: Post-operative delirium leads to significant morbidity in elderly patients, yet there is no regimen to prevent POD. Opioid use in the elderly surgical population is of the most significant risk factors for developing POD. The purpose of this scoping review is to recognize that Dexmedetomidine mitigates cognitive dysfunction secondary to acute pain and the use of narcotic analgesia by decreasing the amount of norepinephrine (an excitatory neurotransmitter) released during times of stress. This mechanism of action also provides analgesia through decreased perception and modulation of pain. Methods: The authors developed eligibility criteria for inclusion of articles and performed a systematic search of several databases. Each of the authors initially selected five articles for inclusion in the scoping review. We created annotated literature tables for easy screening by co-authors. After reviewing the annotated literature table four articles were excluded, leaving 11 articles for inclusion in the scoping review. There were six level I meta-analysis/systematic reviews, four level II randomized clinical trials, and one level IV qualitative research article. Next, we created a data-charting form on Microsoft Word for extraction of data items and synthesis of results. Results: Two of the studies found no significant difference in POD between dexmedetomidine groups and control groups. The nine remaining studies noted decreases in the rate, duration, and risk of POD in the groups receiving dexmedetomidine either intraoperatively or postoperatively. Multiple studies found secondary benefits in addition to decreased POD, such as a reduction of tachycardia, hypertension, stroke, hypoxemia, and narcotic use. One study, however, found that the incidence of hypotension and bradycardia were increased among the elderly population. Implications for Nursing Practice: Surgery is a tremendous stressor in any age group, but especially the elderly population. It has been shown postoperative delirium occurs in 17-61% of major surgery procedures with 30-40% of the cases assumed to be preventable. Opioid administration in the elderly surgical population is one of the most significant risk factors for developing POD. With anesthesia practice already leaning towards opioid-free and opioid-limited anesthetic, the incorporation of dexmedetomidine could prove to be a valuable resource in both reducing opioid use and POD in the elderly surgical population. Although more research is needed, the current evidence is promising.
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