DEX, Delirium and Dilemma

被引:6
作者
Magoon, Rohan [1 ]
Mahajan, Shalvi [2 ]
Jose, Jes [3 ,4 ]
机构
[1] Atal Bihari Vajpayee Inst Med Sci ABVIMS & Dr Ram, Dept Cardiac Anaesthesia, New Delhi, India
[2] Post Grad Inst Med Educ & Res PGIMER, Dept Anaesthesia & Intens Care, Chandigarh, India
[3] Sri Jayadeva Inst Cardiovasc Sci & Res, Dept Cardiac Anesthesiol, Bengaluru, Karnataka, India
[4] Sri Jayadeva Inst Cardiovasc Sci & Res, Dept Cardiac Anesthesiol, Bannerghatta Main Rd,Phase 3,Jayanagara 9th Block, Bengaluru 560069, Karnataka, India
关键词
Cardiac Surgery; Dexmedetomidine; Meta-Analysis; Delirium; Randomized Controlled Trials; CARDIAC-SURGERY; POSTOPERATIVE DELIRIUM; DEXMEDETOMIDINE; METAANALYSIS;
D O I
10.21470/1678-9741-2022-0002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dexmedetomidine has been subjected to an extensive evaluation for its ' role in the prevention of postoperative delirium following cardiac surgery. In striking contrast to the preexisting meta-analysis supporting postoperative delirium-reduction with dexmedetomidine, few recently concluded multicentric large scale randomized controlled trials suggest otherwise. This article aims to present a nuanced perspective of the evolving controversy by attempting to decode the apparent incongruences in the literature accumulating off-late, which is particularly pertinent amidst an ever-escalating heterogeneity in the current research ecosystem.
引用
收藏
页码:305 / 308
页数:4
相关论文
共 20 条
[1]   Critical Review and Meta-Analysis of Postoperative Sedation after Adult Cardiac Surgery: Dexmedetomidine Versus Propofol [J].
Abowali, Hesham A. ;
Paganini, Matteo ;
Enten, Garrett ;
Elbadawi, Ayman ;
Camporesi, Enrico M. .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2021, 35 (04) :1134-1142
[2]   Meta-analyses of clinical trials: are we getting lemonade from lemons? [J].
Bartels, Karsten ;
Sessler, Daniel, I .
BRITISH JOURNAL OF ANAESTHESIA, 2022, 128 (02) :233-235
[3]   Delirium in the cardiac surgical ICU [J].
Brown, Charles H. .
CURRENT OPINION IN ANESTHESIOLOGY, 2014, 27 (02) :117-122
[4]   Risk factors of postoperative delirium after cardiac surgery: a meta-analysis [J].
Chen, Haiyan ;
Mo, Liang ;
Hu, Hongjuan ;
Ou, Yulan ;
Luo, Juan .
JOURNAL OF CARDIOTHORACIC SURGERY, 2021, 16 (01)
[5]   PSYCHOLOGICAL DISTURBANCES ASSOCIATED WITH OPEN-HEART SURGERY [J].
EGERTON, N ;
KAY, JH .
BRITISH JOURNAL OF PSYCHIATRY, 1964, 110 (466) :433-&
[6]   Predisposing and Precipitating Factors of Delirium After Cardiac Surgery A Prospective Observational Cohort Study [J].
Guenther, Ulf ;
Theuerkauf, Nils ;
Frommann, Ingo ;
Brimmers, Kathrin ;
Malik, Ramy ;
Stori, Sangar ;
Scheidemann, Mona ;
Putensen, Christian ;
Popp, Julius .
ANNALS OF SURGERY, 2013, 257 (06) :1160-1167
[7]   Current Evidence Demonstrates a Significant Reduction in the Incidence of Delirium With Postoperative Dexmedetomidine Versus Propofol Sedation [J].
Heybati, Kiyan ;
Deng, Jiawen ;
Zhou, Fangwen ;
Ali, Saif .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2022, 36 (01) :347-348
[8]  
Humphreys JM, 2016, J GERIATR CARDIOL, V13, P51, DOI 10.11909/j.issn.1671-5411.2016.01.010
[9]  
Kumar AK, 2017, ANN CARD ANAESTH, V20, P76, DOI 10.4103/0971-9784.197841
[10]   Determining association between blood glucose variability and postoperative delirium in acute aortic dissection patients: methodological issues [J].
Li, Cheng-Wen ;
Xue, Fu-Shan ;
Hu, Bin .
JOURNAL OF CARDIOTHORACIC SURGERY, 2021, 16 (01)