Anest. intenziv. Med. 2023;34(2):69-75 | DOI: 10.36290/aim.2023.029

Postoperative delirium up­‑to­‑dateReview Article

Nekvindová K., Gabrhelík T., Machát L.
ARIM Krajská nemocnice Tomáše Bati, a. s, Zlín

Postoperative delirium is one of the most common postoperative complications in patients over 65 years of age. The prevention of delirium should start already in the anesthesiology clinic, with the identification of patients at risk and efforts to optimize the condition before the procedure. During surgery, the depth of anesthesia should be monitored, opioid doses should be minimized, and combined methods of anesthesia should be used. After the surgery the automatic implementation of non-pharmacological preventive and treatment measures is crucial. Pharmacological approaches are used as a last option method in agitated and aggressive patients with hyperactive delirium. Currently, the recommended procedures in the diagnosis, prevention and treatment of delirium are not routinely used in clinical practice. The aim of the article is to describe the current possibilities of prevention and treatment of postoperative delirium.

Keywords: postoperative delirium, perioperative neurocognitive disorder, PND, seniors, therapy.

Received: February 8, 2023; Revised: June 28, 2023; Accepted: June 29, 2023; Prepublished online: June 30, 2023; Published: July 21, 2023  Show citation

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Nekvindová K, Gabrhelík T, Machát L. Postoperative delirium up­‑to­‑date. Anest. intenziv. Med. 2023;34(2):69-75. doi: 10.36290/aim.2023.029.
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