Abstract
Postoperative delirium is the most common cause of complications after surgery in patients over 65 years of age. It manifests as an acute cognitive and attention dysfunction, characterized by being transient and fluctuating. These manifestations are observed in hours or days after a surgical intervention. In recent years it has regained great interest, in part due to the increase in life expectancy in the elderly, thus promoting an increase in the incidence of postoperative delirium, which is why it has been the subject of study, although its pathophysiology is still unclear. Its prevention is key since the pharmacological evidence in management once established is insufficient; In addition, 30-40% of cases can be prevented, this by taking an early approach in correcting modifiable predisposing factors, which is why adequate training of health personnel involved in patient care is important.
Keywords
References
F. Rengel, Kimberly, P. Pandharipande, Pratik, G. Hughes Christopher. Postoperative delirium. La Presse Médicale Internet. 2018 Apr cited 2022 Jan 15;47(4 Pt 2):e53-e64. Available from: https://pubmed.ncbi.nlm.nih.gov/29680484/
Oh, Seung-Taek, Young Park, Jin. Postoperative delirium. Korean Journal of Anesthesiology Internet. 2019 Feb cited 2022 Jan 15;72(1):4-12. Available from: https://pubmed.ncbi.nlm.nih.gov/30139213/
P. Pluta, Michał, Dziech, Magdalena, Czempik, Piotr F., Szczepańska, Ana J., Krzych, Łukasz J. Antipsychotic Drugs in Prevention of Postoperative Delirium – What Is Known in 2020?. International Journal of Environmental Research and Public Healt Internet. 2020 Aug 20 cited 2022 Jan 15;17(17):6069. Available from: https://pubmed.ncbi.nlm.nih.gov/32825428/
Velayudha Reddy, Siddareddygari, Narayanasa Irkal, Jawaharlal, Srinivasamurthy. Postoperative delirium in elderly citizens and current practice. Journal of Anesthesiology Clinical Pharmacology Internet. 2017 Jul-Sep cited 2022 Jan 18;33(3):291-299. Available from: https://pubmed.ncbi.nlm.nih.gov/29109625/
Brown IV, C., Deiner, S. Perioperative cognitive protection. British Journal of Anesthesia Internet. 2016 Dec cited 2022 Jan 22;117(suppl 3):iii52-iii61. Available from: https://pubmed.ncbi.nlm.nih.gov/27940456/
T. Schaefer, Simon, Koegnigsperger, Stephan, Olotu, Cynthia, Saller, Thomas. Biomarkers and postoperative cognitive function: could it be that easy?. Current Opinion in Anesthesiology Internet. 2019 Feb cited 2022 Jan 15;32(1):92-100. Available from: https://pubmed.ncbi.nlm.nih.gov/30507679/
S.Curtis, Michael, A. Forman, Nell, L. Donovan, Anne, L. Whitlock, Elizabeth. Postoperative delirium: why, what, and how to confront it at your institution. Current Opinion in Anesthesiology Internet. 2020 Oct cited 2022 Jan 18;33(5):668-673. Available from: https://pubmed.ncbi.nlm.nih.gov/32796170/
Borozdina, Anastasia, Qeva, Ega, Cinicola, Marco, Bilotta, Federico. Perioperative cognitive evaluation. Current Opinion in Anesthesiology Internet. 2018 Dec cited 2022 Jan 15;31(6):756-761. Available from: https://pubmed.ncbi.nlm.nih.gov/30169339/
Wang, Yiru, Shen, Xia. Postoperative delirium in the elderly: the potential neuropathogenesis. Aging Clinical and Experimental Research Internet. 2018 Nov cited 2022 Jan 18;30(11):1287-1295. Available from: https://pubmed.ncbi.nlm.nih.gov/30051417/
Kotekar, Nalini, Shenkar, Anshul, Nagaraj, Ravinshankar. Postoperative cognitive dysfunction – current preventive strategies. Clinical Interventions in Aging Internet. 2018 Nov 8 cited 2022 Jan 22;13:2667-2273. Available from: https://pubmed.ncbi.nlm.nih.gov/30519008/
Olotu, Cynthia. Postoperative neurocognitive disorders. Current Opinion in Anesthesiology Internet. 2020 Feb cited 2022 Jan 28;33(1):101-108. Available from: https://pubmed.ncbi.nlm.nih.gov/31764008/
Guadamuz Hernández, Sylvia, Suárez Brenes, Gabriel. Delirium postoperatorio como complicación en el adulto mayor. Crónicas científicas Internet. 2020 Sep-Dec cited 2022 Jan 28;16(16):64-71. Available from: https://www.cronicascientificas.com/images/ediciones/edicion16/delirium.pdf
Jin, Zhaosheng, Hu, Jie, Ma, Daqing. Postoperative delirium: perioperative assessment, risk reduction, and management. British Journal of Anesthesia Internet. 2020 Oct cited 2022 Feb 3;125(4):492-504. Available from: https://pubmed.ncbi.nlm.nih.gov/32798069/
E. Vlisides, Phillip, S. Avidan, Michael. Recent Advances in Preventing and Managing Postoperative Delirium version 1; peer review: 2 approved. F1000 Research Internet. 2019 May cited 2022 Feb 3;8(F1000 Faculty Rev):607. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498743/
Myles, Paul S. Evaluating interventions to reduce the risk of postoperative delirium. British Journal of Anesthesia Internet. 2020 May 12 cited 2022 Feb 3;125(1):4-6. Available from: https://www.bjanaesthesia.org/article/S0007-0912(20)30227-0/pdf
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