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Current approach to diagnosis and treatment of delirium after cardiac surgery


1 Department of Anesthesiology, Cleveland Clinic Florida, Weston, Florida, USA
2 Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
3 Department of Surgery, University of Mannitoba, Canada
4 Department of Anesthesiology, Yale University, New Haven, CT, USA
5 Department of Cardiothoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
6 Department of Anesthesiology, University of Pennsylvania, PA, USA
7 Department of Anesthesiology, Mayo Clinic, Jacksonville, Florida, United States

Correspondence Address:
Adam S Evans
Cleveland Clinic Florida, Cleveland Clinic Florida 2950 Weston Boulevard Weston, FL 33331
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179634

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Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 328-337

 

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Delirium after cardiac surgery remains a common occurrence that results in significant short- and long-term morbidity and mortality. It continues to be underdiagnosed given its complex presentation and multifactorial etiology; however, its prevalence is increasing given the aging cardiac surgical population. This review highlights the perioperative risk factors, tools to assist in diagnosing delirium, and current pharmacological and nonpharmacological therapy options.






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1 Department of Anesthesiology, Cleveland Clinic Florida, Weston, Florida, USA
2 Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
3 Department of Surgery, University of Mannitoba, Canada
4 Department of Anesthesiology, Yale University, New Haven, CT, USA
5 Department of Cardiothoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
6 Department of Anesthesiology, University of Pennsylvania, PA, USA
7 Department of Anesthesiology, Mayo Clinic, Jacksonville, Florida, United States

Correspondence Address:
Adam S Evans
Cleveland Clinic Florida, Cleveland Clinic Florida 2950 Weston Boulevard Weston, FL 33331
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179634

Rights and Permissions

Delirium after cardiac surgery remains a common occurrence that results in significant short- and long-term morbidity and mortality. It continues to be underdiagnosed given its complex presentation and multifactorial etiology; however, its prevalence is increasing given the aging cardiac surgical population. This review highlights the perioperative risk factors, tools to assist in diagnosing delirium, and current pharmacological and nonpharmacological therapy options.






[FULL TEXT] [PDF]*


        
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