delírio pós-anestésico delírio pós-anestésico postanesthetic delirium
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Abstract
JUSTIFICATIVA Y OBJETIVOS: Delirio pós-anestésico (DPA) es un disturbio mental agudo, que se desenvuelve mas frecuentemente en pacientes geriátricos. La fisiopatologia del DPA es poco comprendida y muchas veces puede ser confundido con otros disturbios psiquiátricos. En este estudio son revistos aspectos importantes de esa complicación anestésica en pacientes geriátricos. CONTENIDO: Son descritos los mecanismos fisiopatológicos, diagnóstico y el tratamiento del DPA. CONCLUSIONES: Delirio es una complicación común e importante en el pós-operatório de pacientes ancianos. Han sido relativamente negligenciado por pesquisadores y pocos estudios prospectivos han sido conducidos. En nuestro medio no hay estudios epidemiológicos disponibles, más la observación clínica diaria en las salas de recuperación pós-anestésica y enfermaría, nos muestra que la ocurrencia de DPA es frecuente, lo que nos lleva a creer en la necesidad de mejor evaluación pré-operatoria, adecuado cuidado perioperatorio y diagnóstico y tratamiento precoces.
BACKGROUND AND OBJECTIVES: Postanesthetic Delirium (PAD) is a common acute mental disorder most commonly developed in elderly patients. Its pathophysiology is poorly understood and PAD is often confused with others psychiatric disorders. This study aimed at reviewing important features of this anesthetic complication in geriatric patients. CONTENTS: Postanesthetic delirium pathophysiological mechanisms, diagnosis and treatment are described. CONCLUSIONS: Postanesthetic delirium is a frequent and severe complication for geriatric patients. Little attention has been given to PAD and few prospective studies have been carried out. There are no available epidemiological studies on this subject in Brazil, nonetheless routine observation of geriatric patients admitted to postanesthetic care units and wards shows that PAD is a common event, suggesting the need for better preoperative assessment, adequate perioperative care and early diagnosis and treatment.
| Reference Key |
ruiz-neto2002revistadelrio
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| Authors | ;Pedro Poso Ruiz-Neto;Neli A. Moreira;Maria Elizabet Furlaneto |
| Journal | methods in molecular biology (clifton, nj) |
| Year | 2002 |
| DOI |
10.1590/S0034-70942002000200013
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