Medicinski pregled,
Год журнала:
2022,
Номер
75(3-4), С. 133 - 137
Опубликована: Янв. 1, 2022
Introduction.
Delirium
is
defined
as
an
acute
change
in
mental
status
that
leads
to
disturbance
perception,
thinking,
memory,
attention,
emotional
status,
well
sleep
rhythm
disorders
and
most
often
reversible.
Postoperative
delirium
disorder
develops
after
cardiovascular
surgery
with
incidence
of
20
-
50%
operated
patients.
This
complication
associated
a
longer
hospitalization,
stay
the
intensive
care
unit,
increased
morbidity
mortality.
Risk
Factors.
The
risk
factors
are
divided
into
preoperative,
intraoperative
postoperative.
common
preoperative
older
age,
stenosis
carotid
arteries,
previous
cerebral
diseases,
depression,
diabetes,
hypertension,
low
ejection
fraction
left
ventricle,
heart
disorders.
Intraoperative
include
type
surgery,
anesthesia,
duration
extracorporeal
circulation,
aortic
clamp.
important
postoperative
use
psychoactive
drugs,
prolonged
pain,
opioid
mechanical
ventilation,
length
unit.
Prevention.
Prevention
very
aspect
focused
on
precipitating
factors.
Preventive
treatment
includes
pharmacological
non-pharmacological
methods.
main
recommendation
refers
avoiding
routine
antipsychotics.
Conclusion.
Continuous
infusion
dexmedetomidine
compared
propofol
reduces
delirium.
Nonpharmacological
approach
consists
series
procedures
carried
out
postoperatively,
such
protocol
monitoring
Awakening,
Breathing,
Coordination,
Delirium,
Early
mobility,
Family
engagement.
Journal of Korean Gerontological Nursing,
Год журнала:
2024,
Номер
26(1), С. 113 - 123
Опубликована: Фев. 28, 2024
Purpose:
The
purpose
of
this
study
is
to
identify
the
prevalence
and
risk
factors
delirium
older
adults
after
cardiac
surgery
at
intensive
care
unit
(ICU).
Methods:
A
retrospective
descriptive
correlational
design
was
used.
Among
675
who
admitted
ICU
in
a
tertiary
hospital
from
May
2021
April
2022,
528
were
selected
for
data
analysis.
Data
collected
through
electronic
medical
records.
Delirium
pain
intensity
evaluated
using
Confusion
Assessment
Method-Intensive
Care
Unit
Critical
Non-verbal
Pain
Scale,
respectively.
Results:
incidence
rate
41.3%
(n=218).
Multivariate
logistic
regression
analysis
variables
identified
that
length
stay
(odds
ratio
[OR]=1.77,
p<.001),
anesthesia
time
(OR=1.21,
p=.016),
(OR=1.14,
p=.044),
age
(OR=1.07,
p=.002)
as
surgery.
Conclusion:
stay,
time,
score,
advanced
should
be
considered
prevention
management
Journal of Clinical Nursing,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 9, 2024
Delirium
is
one
of
the
most
common
and
serious
complications
after
cardiac
surgery
with
cardiopulmonary
bypass
(CPB).
A
comprehensive
assessment
independent
risk
factors
for
postoperative
delirium
(POD)
essential
early
detection
prevention.
To
investigate
incidence
associated
POD
in
adults
undergoing
CPB.
Prospective
cohort
design.
total
203
patients
were
enrolled
this
study
from
October
2022
to
December
2023
China.
Richmond
agitation
sedation
scale
(RASS)
confusion
method-intensive
care
unit
(CAM-ICU)
used
assessing
symptom.
This
analysed
various
POD,
including
demographic,
physical,
psychological,
social,
spiritual
environmental
aspects.
Using
logistic
regression
analysis
identify
factors.
totla
60.1%
(n
=
122)
had
POD.
Of
these
cases,
86
(70.5%)
hypoactive
delirium,
4
(3.3%)
hyperactive
32
(26.2%)
mixed
delirium.
Advanced
age
(OR
1.069,
95%
confidence
interval
[CI]:
1.031-1.107;
p
<
0.001),
preoperative
depression
1.847,
CI:
1.246-2.736;
0.002),
albumin
level
0.921,
0.851-0.997;
0.042)
duration
mechanical
ventilation
>
1.000,
1.000-1.001;
0.001)
predictors
The
CPB
was
high.
identified
advanced
age,
depression,
as
significant
study's
findings
highlight
urgent
necessity
improved
clinical
vigilance
proactive
management
strategies.
No
patient
or
public
contribution.
American Journal of Health-System Pharmacy,
Год журнала:
2022,
Номер
79(17), С. 1431 - 1437
Опубликована: Май 8, 2022
Abstract
Purpose
The
objective
of
this
review
is
to
detail
the
utility
statin
medications
in
prevention
and
treatment
intensive
care
unit
(ICU)
delirium.
Summary
Delirium
a
syndrome
characterized
by
altered
mental
status,
inattention,
disorganized
thinking.
It
particularly
concerning
ICU
where
specific
risk
factors
are
much
more
prevalent.
Nonpharmacological
therapy
mainstay
treatment,
aimed
at
increasing
patient
awareness;
pharmacological
therapies
have
also
been
explored
with
varying
success.
scenario
has
investigated
because
numerous
pleiotropic
effects
these
drugs.
Although
benefits
terms
treating
delirium
uncertain,
statins
may
be
good
candidates
for
prevention.
peak
anti-inflammatory
effect
delayed,
so
initiating
on
admission
will
likely
little
protective
benefit,
whereas
continuation
home
regimen
seems
exert
an
effect.
Conclusion
Statin
very
commonly
used,
and,
while
their
role
unclear,
from
reasonable
decrease
odds
population.
International Journal of Critical Care,
Год журнала:
2023,
Номер
17(3), С. 69 - 87
Опубликована: Дек. 1, 2023
Background
Depression
is
associated
with
cardiac-related
events
and
cognitive
dysfunction
contributing
to
poorer
health
outcomes
quality
of
life.
Specifically,
after
cardiac
surgery,
broad
domains
are
negatively
affected.
To
address
following
researchers
have
tested
non-pharmacological
interventions
varied
success.
worse
yet
depression’s
potential
contribution
mitigating
surgery
poorly
understood.
Aims
This
review
aims
examine
the
impact
depression
on
effectiveness
designed
minimize
surgery.
Methods
A
systematic
literature
was
conducted
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
guidelines.
Peer-reviewed
articles
between
January
2011
February
2022
obtained
from
PubMed,
MEDLINE,
EMBASE,
Psych
INFO,
CINAHL,
Web
Science
databases
were
screened
inclusion
based
predetermined
criteria.
Each
article
screened,
data
abstracted
by
two
authors.
Results
Of
8128
442
assessed
eligibility
4
met
Three
studies
did
not
report
scale
scores.
The
other
study
reported
symptoms
as
mild
severe.
Conclusion
These
findings
suggest
limited
information
exists
regarding
relationship
function
among
patients
who
undergo
non-pharmacologic
interventions.
Future
should
carefully
in
relation
impairment
post-cardiac
surgery;
such
may
further
guide
clinical
Medicinski pregled,
Год журнала:
2022,
Номер
75(3-4), С. 133 - 137
Опубликована: Янв. 1, 2022
Introduction.
Delirium
is
defined
as
an
acute
change
in
mental
status
that
leads
to
disturbance
perception,
thinking,
memory,
attention,
emotional
status,
well
sleep
rhythm
disorders
and
most
often
reversible.
Postoperative
delirium
disorder
develops
after
cardiovascular
surgery
with
incidence
of
20
-
50%
operated
patients.
This
complication
associated
a
longer
hospitalization,
stay
the
intensive
care
unit,
increased
morbidity
mortality.
Risk
Factors.
The
risk
factors
are
divided
into
preoperative,
intraoperative
postoperative.
common
preoperative
older
age,
stenosis
carotid
arteries,
previous
cerebral
diseases,
depression,
diabetes,
hypertension,
low
ejection
fraction
left
ventricle,
heart
disorders.
Intraoperative
include
type
surgery,
anesthesia,
duration
extracorporeal
circulation,
aortic
clamp.
important
postoperative
use
psychoactive
drugs,
prolonged
pain,
opioid
mechanical
ventilation,
length
unit.
Prevention.
Prevention
very
aspect
focused
on
precipitating
factors.
Preventive
treatment
includes
pharmacological
non-pharmacological
methods.
main
recommendation
refers
avoiding
routine
antipsychotics.
Conclusion.
Continuous
infusion
dexmedetomidine
compared
propofol
reduces
delirium.
Nonpharmacological
approach
consists
series
procedures
carried
out
postoperatively,
such
protocol
monitoring
Awakening,
Breathing,
Coordination,
Delirium,
Early
mobility,
Family
engagement.
