DOI: https://doi.org/10.22141/2224-0586.6.93.2018.147653

Modern recommendations for prevention and treatment of postoperative delirium in intensive care units

Yu.O. Ploshchenko, O.M. Klygunenko

Abstract


The development of postoperative delirium to date can be considered one of the unresolved problems of modern surgery and anesthesiology, especially in the elderly. Despite the fact that earlier this problem was neglected, at the moment there is an increasing number of works in foreign literature recogni­zing the importance of this topic in everyday practice. Postope­rative delirium is a complex multicomponent syndrome that is caused by a combination of many additional and triggering factors, and its development is not the result of inadequate work of an anesthetist. One of the most comprehensive guidelines on this issue was published in the European Journal of Anaesthe­siology in 2017. European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium was compiled by a group of experts, including anesthetists, surgeons, geriatricians and psychiatrists. The aim of these guidelines was to provide evidence-based recommendations for the prevention and pre-operative identification of patients with developmental risk and post-operative delirium management. In these guidelines, we consider the features of postoperative delirium in patients of all age groups, both in adults and children.

Keywords


postoperative delirium; intensive care unit; prevention; treatment

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