Delirium in the Postoperative Cardiac Patient: A Review


By continuing to browse this site you agree to us using cookies as described in About Cookies

Log in / Register

Go to old article view

Journal of Cardiac Surgery

Explore this journal >

View issue TOC Volume 20, Issue 6 November 2005 Pages 560–567

Delirium in the Postoperative Cardiac Patient: A Review Sanjeev Sockalingam M.D., Neal Parekh B.Sc., Isaac Israel Bogoch B.Sc., Hon., Jack Sun B.Sc., Ramona Mahtani B.Sc., Hon., Craig Beach M.D., Natasha Bollegalla, Shannon Turzanski, Eva Seto, Jennifer Kim, Paul Dulay B.Sc., Susan Scarrow M.D., Shree Bhalerao B.Sc., B.A., Pg.D., M.D., F.R.C.P.C.

First published: 9 August 2005 Full publication history DOI: 10.1111/j.1540-8191.2005.00134.x Cited by (CrossRef): 56 articles Check for updates

View/save citation

Citation tools

Address for correspondence: Shree Bhalerao, B.Sc., B.A., Pg.D., M.D., F.R.C.P.C., St. Michael's Hospital Medical Psychiatry Service, 30 Bond Street, Victoria Wing, 17046 Toronto, Ontario M5B 1W8, Canada. Fax: (416) 864-5793; e-mail: [email protected]

Abstract ABSTRACT Background and aim of review: Cardiac surgery is increasingly common and relatively safe, but there are frequent reports of neuropsychiatric sequelae occurring in the postoperative period. One of the most common neuropsychiatric presentations of cardiac surgery is delirium, also called postcardiotomy delirium (PCD). Despite the vast numbers of cardiac surgeries performed today, there is a paucity of data on risk factors and management options of PCD available to the clinician. This review aims to summarize available information, increase clinicians' awareness of PCD and suggest effective management of this illness. Methods: Our literature search was completed using the databases Medline and CINAHL; it was limited to human and English language studies from 1964 to the present. Search terms included “delirium,”“agitation,”“postoperative,”“cardiac,”“neuropsychiatric,”“neuroleptics,”“psychosis,”“surgery,”“treatment,”“postcardiotomy,” and “pharmacotherapy.”Results: Our review of the literature revealed several risk factors for PCD, as well as various options for its pharmacological management. Conclusions: A multifactorial model should be applied when considering risk stratification for and prevention of delirium postoperatively. Pharmacologically, conventional antipsychotic agents, such as haloperidol, have long been used to manage delirium. In light of haloperidol's side effects, particularly those applicable to the cardiac patient, further research is required into the role of second generation antipsychotics. These agents are common in clinical use, and may be the preferred medications.

Continue reading full article Related content Articles related to the one you are viewing The articles below have been selected for you based on the article you are currently viewing.

Pharmacological treatment for the prevention of delirium: review of current evidence Naji Tabet, Robert Howard 18 February 2009

Antipsychotic Medication for Prevention and Treatment of Delirium in Hospitalized Adults: A Systematic Review and Meta-Analysis Karin J. Neufeld, Jirong Yue, Thomas N. Robinson, Sharon K. Inouye, Dale M. Needham 23 March 2016

Atypical Antipsychotics in Older Adults Yiu-Chung Chan, Stephen F. Pariser, Gayle Neufeld July 1999

Atypical antipsychotics in the treatment of delirium Vaios Peritogiannis, Ekaterini Stefanou, Charalampos Lixouriotis, Christos Gkogkos, Dimitrios V. Rizos 10 August 2009

Antipsychotic Agents in Patients with Dementia Jennifer L. Defilippi, M. Lynn Crismon January 2000

Citing Literature

Browse Publications Browse by Subject Resources Help & Support Cookies & Privacy Terms of Service About Us Wiley Job Network Advertisers & Agents

Powered by Wiley Online Library Copyright © 1999 - 2018 John Wiley & Sons, Inc. All Rights Reserved


Delirium in the Postoperative Cardiac Patient: A Review

By continuing to browse this site you agree to us using cookies as described in About Cookies Log in / Register Go to old article view Journal of C...

61KB Sizes 3 Downloads 15 Views

Recommend Documents

Postoperative Delirium - NCBI - NIH
Delirium (acute confusion) complicates 15% to 50% of major operations in older adults and is associated with other major

Early postoperative cognitive dysfunction and postoperative delirium
Jul 6, 2011 - Postoperative delirium can result in increased postoperative morbidity and mortality, major demand for pos

The Preventing of Postoperative Delirium (24.04.2015)
Apr 24, 2015 - Background: Delirium is a common complication in elderly hospitalized patients. It prolongs the length of

Acetylcholinesterase in Postoperative Delirium - Full Text View
The level of acetylcholinesterase is suspected to correlate with postoperative delirium. The investigators therefore sco

Postoperative delirium in the elderly: diagnosis and management
Recognizing the presentation of delirium and the criteria to establish the diagnosis of delirium will improve a clinicia

Postoperative Delirium - European Society of Anaesthesiology Survey
The ESA is currently preparing a guideline on the management of postoperative delirium (POD), which attempts to reduce t

Delirium in the Pediatric Cardiac Extracorporeal Membrane Ox
Descriptive and summary statistics were generated to describe demographic and clinical data using N (%) or mean, median,

Frontiers | Biomarkers of postoperative delirium and cognitive
Elderly surgical patients frequently experience postoperative delirium (POD) and the subsequent development of postopera

Perioperative management in order to minimise postoperative delirium
Aug 12, 2014 - The aim of the present survey was to gain insight regarding concern and interest in prevention and treatm

Postoperative Delirium in Elderly Patients Undergoing Hip Fracture
Jan 27, 2016 - Residual neuromuscular block (NMB) after general anesthesia has been associated with pulmonary dysfunctio