Current approach to diagnosis and treatment of delirium after cardiac surgery

被引：39

作者：

Evans, Adam S. ^{[1
]}

Weiner, Menachem M. ^{[2
]}

Arora, Rakesh C. ^{[3
]}

Chung, Insung ^{[2
]}

Deshpande, Ranjit ^{[4
]}

Varghese, Robin ^{[5
]}

Augoustides, John ^{[6
]}

Ramakrishna, Harish ^{[7
]}

机构：

[1] Cleveland Clin Florida, Dept Anesthesiol, Weston, FL USA

[2] Icahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA

[3] Univ Mannitoba, Dept Surg, Winnipeg, MB, Canada

[4] Yale Univ, Dept Anesthesiol, New Haven, CT USA

[5] Icahn Sch Med Mt Sinai, Dept Cardiac Surg, New York, NY 10029 USA

[6] Univ Penn, Dept Anesthesiol, Philadelphia, PA 19104 USA

[7] Mayo Clin, Dept Anesthesiol, Jacksonville, FL 32224 USA

来源：

ANNALS OF CARDIAC ANAESTHESIA | 2016年 / 19卷 / 02期

关键词：

Cardiac surgery; Delirium; Postoperative critical care;

D O I：

10.4103/0971-9784.179634

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Delirium after cardiac surgery remains a common occurrence that results in significant short- and long-term morbidity and mortality. It continues to be underdiagnosed given its complex presentation and multifactorial etiology; however, its prevalence is increasing given the aging cardiac surgical population. This review highlights the perioperative risk factors, tools to assist in diagnosing delirium, and current pharmacological and nonpharmacological therapy options.

引用

页码：328 / 337

页数：10

共 99 条

[1] Predictive Model for Postoperative Delirium in Cardiac Surgical Patients [J].

Afonso, Anoushka ;

Scurlock, Corey ;

Reich, David ;

Raikhelkar, Jayashree ;

Hossain, Sabera ;

Bodian, Carol ;

Krol, Marina ;

Flynn, Brigid .

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2010, 14 (03) :212-217

[2] Randomized ICU Trials Do Not Demonstrate an Association Between Interventions That Reduce Delirium Duration and Short-Term Mortality: A Systematic Review and Meta-Analysis [J].

Al-Qadheeb, Nada S. ;

Balk, Ethan M. ;

Fraser, Gilles L. ;

Skrobik, Yoanna ;

Riker, Richard R. ;

Kress, John P. ;

Whitehead, Shawn ;

Devlin, John W. .

CRITICAL CARE MEDICINE, 2014, 42 (06) :1442-1454

[3] Cerebrovascular Complications After Heart Transplantation [J].

Alejaldre, Aida ;

Delgado-Mederos, Raquel ;

Angel Santos, Miguel ;

Marti-Fabregas, Joan .

CURRENT CARDIOLOGY REVIEWS, 2010, 6 (03) :214-217

[4]

American Psychiatric Association, 2022, DIAGN STAT MAN MENT, V5th, DOI [10.1176/APPI.BOOKS.9780890425787, 10.1176/appi.books.9780890425787, DOI 10.1176/APPI.BOOKS.9780890425787]

[5] Effect of intensive care unit environment on in-hospital delirium after cardiac surgery [J].

Arenson, Benjamin G. ;

MacDonald, Lindsey A. ;

Grocott, Hilary P. ;

Hiebert, Brett M. ;

Arora, Rakesh C. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2013, 146 (01) :172-178

[6] Major clinical outcomes in adults undergoing thoracic aortic surgery requiring deep hypothermic circulatory arrest: Quantification of organ-based perioperative outcome and detection of opportunities for perioperative intervention [J].

Augoustides, JG ;

Floyd, TF ;

McGarvey, ML ;

Ochroch, EA ;

Pochettino, A ;

Fulford, S ;

Gambone, AJ ;

Weiner, J ;

Raman, S ;

Savino, JS ;

Bavaria, JE ;

Jobes, DR .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2005, 19 (04) :446-452

[7] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].

Barr, Juliana ;

Fraser, Gilles L. ;

Puntillo, Kathleen ;

Ely, E. Wesley ;

Gelinas, Celine ;

Dasta, Joseph F. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Joffe, Aaron M. ;

Coursin, Douglas B. ;

Herr, Daniel L. ;

Tung, Avery ;

Robinson, Bryce R. H. ;

Fontaine, Dorrie K. ;

Ramsay, Michael A. ;

Riker, Richard R. ;

Sessler, Curtis N. ;

Pun, Brenda ;

Skrobik, Yoanna ;

Jaeschke, Roman .

CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306

[8]

Beggs T, 2015, CAN J ANESTH, V62, P143, DOI 10.1007/s12630-014-0273-z

[9] Intensive Care Delirium Screening Checklist: evaluation of a new screening tool [J].

Bergeron, N ;

Dubois, MJ ;

Dumont, M ;

Dial, S ;

Skrobik, Y .

INTENSIVE CARE MEDICINE, 2001, 27 (05) :859-864

[10] POST-CARDIOTOMY DELIRUM [J].

BLACHY, PH ;

STARR, A .

AMERICAN JOURNAL OF PSYCHIATRY, 1964, 121 (04) :371-&

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