Postoperative delirium portends descent to dementia

Slides:

Advertisements

Similar presentations

2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.

Advertisements

Preventing surgical deaths: critical care and intensive care outreach services in the postoperative period D.R. Goldhill British Journal of Anaesthesia

Human factors in anaesthesia: lessons from aviation

Pain in cancer survivors; filling in the gaps

Functional walking capacity as an outcome measure of laparoscopic prostatectomy: the effect of lidocaine infusion S. Lauwick, D.J. Kim, G. Mistraletti,

R. Kaw, F. Chung, V. Pasupuleti, J. Mehta, P.C. Gay, A.V. Hernandez

Why is the surgical high-risk patient still at risk?

X. Sun, J. Ellis, P.J. Corso, P.C. Hill, F. Chen, J. Lindsay

Supplemental oxygen and surgical site infection: getting to the truth

Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre M.P. Rockett, G. Simpson,

Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia

Randomized, double-blind comparison of oral aprepitant alone compared with aprepitant and transdermal scopolamine for prevention of postoperative nausea.

Parkinson's disease and anaesthesia

K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo

D. M. Baron, H. Hochrieser, M. Posch, B. Metnitz, A. Rhodes, R. P

Gabapentin prophylaxis for postoperative nausea and vomiting in abdominal surgeries: a quantitative analysis of evidence from randomized controlled clinical.

The diving bell and the butterfly

A. Sankar, S.R. Johnson, W.S. Beattie, G. Tait, D.N. Wijeysundera

G Turner, M.J. Goldacre, T Lambert, J.W. Sear

Differential effects of serum from patients administered distinct anaesthetic techniques on apoptosis in breast cancer cells in vitro: a pilot study

Triaging the right patient to the right place in the shortest time

A different use of visual analytic techniques in anaesthetics

Postoperative pulmonary complications

Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state P.S.

M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita

Preoperative coronary calcium score is predictive of early postoperative cardiovascular complications in liver transplant recipients British Journal.

R Wengritzky, T Mettho, P.S. Myles, J Burke, A Kakos

Mind the gap when performing emergency front-of-neck access

Intraoperative awareness: controversies and non-controversies

Feasibility and efficiency of a preoperative anaemia walk-in clinic: secondary data from a prospective observational trial P. Meybohm, M.H. Goehring,

Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy A. Agarwal, S. Gautam,

Continuing to excel in anaesthesia through the ‘big five’: teaching, training, testing, quality, and research A.A.J. Van Zundert, S.P. Gatt, R.P. Mahajan

Preoperative supplementation with fibrinogen concentrate in cardiac surgery: A randomized controlled study A. Jeppsson, K. Waldén, C. Roman-Emanuel,

The effect of preoperative cognitive impairment and type of vascular surgery procedure on postoperative delirium with associated cost implications Rima.

Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation J. Dawson, M. Jones, N. Hirschauer,

Do team processes really have an effect on clinical performance

A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady

Anaesthetists’ non-technical skills

Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine T. Schisler, H. Huttunen,

Acute postoperative hypoxemic respiratory failure as a result of Chilaiditi's syndrome: contribution of high flow oxygen through nasal cannula S Poignant,

M.J. Needham, C.E. Webb, D.C. Bryden British Journal of Anaesthesia

Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery P.-G. Chassot, A. Delabays, D.R. Spahn

Physiological effects of hyperchloraemia and acidosis

Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing A. Sarang, J. Dinsmore British Journal of Anaesthesia

Distraction and interruption in anaesthetic practice

Reply: allostatic load as an approach to support the theoretical assumptions of the Brief Measure of Emotional Preoperative Stress (B-MEPS) W. Caumo,

Ultrasound-guided central venous catheterization in the prone position

GlideScope® video laryngoscope: a randomized clinical trial in 203 paediatric patients† J.-T. Kim, H.-S. Na, J.-Y. Bae, D.-W. Kim, H.-S. Kim, C.S. Kim,

Corrigendum British Journal of Anaesthesia

Observational study of the success rates of intubation and failed intubation airway rescue techniques in 7256 attempted intubations of trauma patients.

The preoperative administration of ketoprofen improves analgesia after laparoscopic cholecystectomy in comparison with propacetamol or postoperative ketoprofen

G.B. Drummond, B. Lafferty British Journal of Anaesthesia

Teamwork, communication, and anaesthetic assistance in Scotland

Neurological biomarkers in the perioperative period

J Lee, S Gupta, C Price, A.P. Baranowski

Development and validation of a preoperative scoring system to predict 30 day mortality in patients undergoing hip fracture surgery M.J. Maxwell, C.G.

ICU fire evacuation preparedness in London: a cross-sectional study

J. Bromilow, T. Corcoran British Journal of Anaesthesia

Influence of preoperative cognitive status on propofol requirement to maintain hypnosis in the elderly F.-Z. Laalou, M Egard, M Guillot, E Noll, G Taglang,

G. Haller, D.S. Courvoisier, H. Anderson, P.S. Myles

A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study

S. Radhakrishna British Journal of Anaesthesia

J. Carlisle, M. Swart, E.J.C. Dawe, M. Chadwick

Risk scores to facilitate preoperative prediction of transfusion and large volume blood transfusion associated with adult cardiac surgery† R. Goudie,

Power of negative thinking

A. Schlager, M. Boehler, F. Pühringer British Journal of Anaesthesia

U.H. Frey, P. Scharmann, C. Löhlein, J. Peters

C.M. Chalmers, A.M. Bal British Journal of Anaesthesia

Effect of concentration of local anaesthetic solution on the ED50 of bupivacaine for supraclavicular brachial plexus block† P.K. Gupta, P.M. Hopkins

R. Parke, S. McGuinness, R. Dixon, A. Jull

Presentation transcript:

Postoperative delirium portends descent to dementia A. Aranake-Chrisinger, M.S. Avidan British Journal of Anaesthesia Volume 119, Issue 2, Pages 285-288 (August 2017) DOI: 10.1093/bja/aex126 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Illustration of the cognitive ability of four hypothetical patients. All four show some degree of cognitive deterioration over the years. LOC, level of consciousness; NCD, neurocognitive disorder; POD, postoperative delirium. Patient 1 has sub-clinical preoperative cognitive decline, suffers postoperative delirium and has relative postoperative cognitive improvement. Patient 2 has sub-clinical preoperative cognitive decline, suffers postoperative delirium and postoperatively follows the predicted cognitive trajectory. Patient 3 has minimal preoperative cognitive decline, suffers postoperative delirium and has accelerated postoperative cognitive decline. Patient 4 has minimal preoperative cognitive decline, does not suffer postoperative delirium and has minimal postoperative cognitive decline. British Journal of Anaesthesia 2017 119, 285-288DOI: (10.1093/bja/aex126) Copyright © 2017 The Author(s) Terms and Conditions