Anest. intenziv. Med. 2009;20(3):158-164

Delirium during the postoperative period and in the intensive medicineIntesive Care Medicine - Review Article

Hála Martin1,*, Ševčík Pavel2
1 Centrum kardiovaskulární a transplantační chirurgie, Brno
2 Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Brno

The review article addresses the problem of delirium in intensive care, its types and definition as well as possibilities of differential diagnostics. Authors describe both non-pharmacologic and pharmacologic measures of prevention and treatment of delirium.

Keywords: delirium; intensive care; diagnostics; treatment

Received: November 7, 2008; Accepted: March 11, 2009; Published: June 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Hála M, Ševčík P. Delirium during the postoperative period and in the intensive medicine. Anest. intenziv. Med. 2009;20(3):158-164.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition (DSM-IV). Washington: APA 1994.
    2. American Psychiatric Association: Practice guideline for the treatment of patients with delirium. Am. J. Psychiatry, 1999, 156, 5 suppl, p. 1-20.
    3. Bucerius, J., Gummert, J. F. Predictors of delirium after cardiac surgery: effect of beating heart surgery. J. Thor. Cardiovas. Surg., 2004, 127, p. 57-64. Go to original source... Go to PubMed...
    4. Franco, K., Litaker, D. The cost of delirium in the surgical patient. Psychosomatics, 2001, 42, p. 68-73. Go to original source... Go to PubMed...
    5. Liptzin, B., Levkoff, S. E. An empirical study of delirium subtypes. Brit. J. Psych., 1992;161:843-5. Go to original source... Go to PubMed...
    6. Ely, E. W., Truman, B., Shintani, A., Thomason, J. W. W., Wheeler, A. P., Gordon, S. Monitoring sedation status over time in ICU patients: the reliability and validity of the Richmond Agitation Sedation Scale (RASS). JAMA, 2003, 289, p. 2983-2991. Go to original source... Go to PubMed...
    7. Bergeron, N., Dubois, M. J., Dumont, M., Dial, S., Skrobik, Y. Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. Intensive Care Med., 2001, 27, 5, p. 859-864. Go to original source... Go to PubMed...
    8. Karlsson, I. Drugs that induce delirium. Dementia and Geriatric Cognitive Disorders, 1999, 10, p. 412-415. Go to original source... Go to PubMed...
    9. Lynch, E. P., Lazor, M. A. The impact of postoperative pain on the development of postoperative delirium. Anesth. Analg., 1998, 86, p. 781-785. Go to original source...
    10. Hála, M., Pavlík, P., Wagner, R. Podávání inhibitoru cyklooxygenázy typu 2 modifikuje průběh pooperačního deliria u kardiochirurgických pacientů. Anest. intenziv. Med., 2006, 17, 5, p. 235-240.
    11. Dallas, P. S., Sudeep S. G., van Zyl, L. T. Antipsychotics in the Treatment of Delirium: A Systematic review. J. Clin. Psychiatry, 2007, 68, p. 11-21. Go to original source... Go to PubMed...
    12. Laffey, J. G., Boylan, J. F., Cheng, D. C. H. The systemic inflammatory response to cardiac surgery - implications for the anesthesiologist. Anesthesiology, 2002, 97, p. 215-252. Go to original source... Go to PubMed...
    13. McAlpine, J. N., Hodgson, E. J., Abramowitz, S. The incidence and risk factors associated with postoperative delirium in geriatric patients undergoing surgery for suspected gynecologic malignancies. Gynecol. Oncol., 2008, 109, 2, p. 296-302. Go to original source... Go to PubMed...
    14. Balasundaram, B., Holmes, J. Delirium in vascular surgery. Eur. J Vasc. Endovasc. Surg., 2007, 34, 2, p. 131-134. Go to original source... Go to PubMed...
    15. Norkiene, I., Ringaitiene, D., Misiuriene, I. Incidence and precipitating factors of delirium after coronary artery bypass grafting. Scand. Cardiovasc. J., 2007, 41, 3, p. 180-185. Go to original source... Go to PubMed...
    16. Scholz, M., Cinatl, J. First efficacy and safety results with the antibody containing leukocyte inhibition module in cardiac surgery patients with neutrophil hyperaktivity. ASAIO Journal, 2005, 51, p. 144-147. Go to original source... Go to PubMed...
    17. Christon, R., Drouin, O. Redox modulation of insulin signalling and endothelial function. Antioxidants and Redox Signaling, 2005, 7, 7-8, p. 1062-1070. Go to original source... Go to PubMed...
    18. Siroen, M. P., van Leeuwen, P. A. Modulation of asymmetric dimethylarginine in critically ill patients receiving intensive insulin treatment. Crit. Care Medicine, 2005, 33, 3, p. 504-510. Go to original source... Go to PubMed...
    19. Langouche, L., Vanhorebeek, I. Intensive insulin therapy protects the endothelium of critically ill patiens. J. Clin. Invest., 2005, 115, p. 2277-2286. Go to original source... Go to PubMed...
    20. Katznelson, R., Djaiani, G., Borger, M. Preoperative Use of Statins Is Associated with Reduced Early Delirium Rates after Cardiac Surgery. Anesthesiology, 2009, 110, 1, p. 67-73. Go to original source... Go to PubMed...

    Return to the content


    Anesteziologie a intenzivní medicína

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.