Delirium
Delirium is an abrupt change in the brain that causes mental confusion and emotional disruption. It makes it difficult to think, remember, sleep, pay attention, and more. You might experience delirium during alcohol withdrawal, after surgery, or with dementia.
Cluster Number:
Wiki Number: W052
Diagnosis: Delerium
US Patients: 1-2%, more with age
World Patients:
Sex Ratio:
Age Onset: most after 65
Brain Area: imbalance in dopamine and serotonin
Symptoms: confusion for hours or days, disorientation, disorganized thinking, uncontrolled muscles
Progression:
Causes: drug withdrawal, too much alcohol, prior dementia, sepsis-illness
Medications: haliperidol and other antipsychotics; 60% death rate in hospitalized elders with delerium, increases dementia X13.
Therapies: Maximize oxygen, hydration, feeding, pain control, control of other factors affecting the brain
YouTube Video: Understanding Delirium
Amazon or Library Book: Delirium
Delirium: Screening, Prevention, and Diagnosis – A Systematic Review of the Evidence
Click the book to link or order from Amazon.
Click the book to link or order from Amazon.
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- Overtime work of anesthesiologists is associated with increased delirium in older patients admitted to intensive care unit after noncardiac surgery: a secondary analysisby Yi Zhao on December 20, 2024
CONCLUSIONS: Overtime work of anesthesiologists was associated with an increased risk of delirium development in older patients admitted to ICU after major noncardiac surgery.
- Evaluating the impact of Benson's relaxation technique on anxiety and delirium among coronary artery bypass graft surgery patientsby Ali Golchoubi on December 20, 2024
CONCLUSION: Incorporating Benson's relaxation technique, which showed significant effects in reducing early postoperative delirium, into postoperative care plans for open-heart surgery patients warrants consideration. However, given the lack of a significant effect on anxiety reduction compared to routine care, further research is necessary to evaluate its long-term effectiveness and broader impact on psychological outcomes.
- Catatonia-asossicated urinary retention in geriatric patients: a case series reportby Monica Parmar on December 20, 2024
CONCLUSIONS: To our knowledge, there are no case reports that describe the concurrent resolution of catatonia, depressive symptoms and urinary retention simultaneously using validated scales throughout the ECT treatment course. Furthermore, there are no prior reports describing catatonia-related urinary retention specifically among a group of geriatric populations. Identifying and treating catatonia in a timely manner can reduce the complications associated with prolonged catheter use. There...
- Post-anesthesia care unit delirium in children with moyamoya disease undergoing indirect revascularization: incidence and risk factorsby Kun Liu on December 20, 2024
CONCLUSIONS: A significant proportion of patients with MMD developed delirium in the PACU. High intraoperative blood pressure variability and preoperative MRI lesions are independent risk factors for PACU delirium in children with MMD. TIVA may exert a protective effect against PACU delirium. Further studies are required to clarify the causality of these associations.