European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium

被引：1165

作者：

Aldecoa, Cesar ^{[2
]}

Bettelli, Gabriella ^{[3
]}

Bilotta, Federico ^{[4
]}

Sanders, Robert D. ^{[5
]}

Audisio, Riccardo ^{[6
]}

Borozdina, Anastasia ^{[7
]}

Cherubini, Antonio ^{[8
]}

Jones, Christina ^{[9
]}

Kehlet, Henrik ^{[10
,11
]}

MacLullich, Alasdair ^{[12
]}

Radtke, Finn ^{[1
]}

Riese, Florian ^{[13
,14
]}

Slooter, Arjen J. C. ^{[15
,16
]}

Veyckemans, Francis ^{[17
]}

Kramer, Sylvia ^{[1
]}

Neuner, Bruno ^{[1
]}

Weiss, Bjoern

Spies, Claudia D. ^{[1
]}

机构：

[1] Charite Univ Med Berlin, Dept Anaesthesiol & Intens Care Med Charite, Charite Campus Virchow Klinikum & Charite Campus, D-10117 Berlin, Germany

[2] Hosp Univ Rio Hortega, Fac Med Valladolid, Dept Anesthesiol, Valladolid, Spain

[3] Italian Natl Res Ctr Aging, IRCCS, Dept Anaesthesia Analgesia & Intens Care, Dept Geriatr Surg, Ancona, Italy

[4] Sapienza Univ Rome, Dept Anesthesiol Crit Care & Pain Med, Rome, Italy

[5] Univ Wisconsin, Dept Anaesthesiol, Madison, WI USA

[6] Merseyside Univ Liverpool, St Helens Hosp, Dept Surg, Liverpool, Merseyside, England

[7] Petrovsky Natl Res Ctr Surg, Moscow, Russia

[8] IRCCS INRCA, Geriatria Accettaz Geriatr Urgenza, Ancona, Italy

[9] Whiston Hosp, Prescot, Merseyside, England

[10] Copenhagen Univ Hosp, Sect Surg Pathophysiol, Rigshospitalet, Copenhagen, Denmark

[11] Copenhagen Univ Hosp, Lundbeck Ctr Fast track Hip & Knee Arthroplasty, Rigshospitalet, Copenhagen, Denmark

[12] Univ Edinburgh, Edinburgh Delirium Res Grp, Geriatr Med Unit, Edinburgh, Midlothian, Scotland

[13] Anaestesiologisk Afdeling, Dept Anaesthesia, Naestved, Denmark

[14] Psychiat Univ Hosp, Zurich, Switzerland

[15] Univ Med Ctr Utrecht, Dept Intens Care, Utrecht, Netherlands

[16] Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Utrecht, Netherlands

[17] Clin Univ St Luc, Anesthesiol Serv, Brussels, Belgium

来源：

EUROPEAN JOURNAL OF ANAESTHESIOLOGY | 2017年 / 34卷 / 04期

关键词：

INTENSIVE-CARE-UNIT; HIP FRACTURE PATIENTS; PATIENT-CONTROLLED ANALGESIA; ACUTE CONFUSIONAL STATES; GERIATRIC CONSULTATION SERVICES; ALCOHOL-WITHDRAWAL SYNDROME; MINI NUTRITIONAL ASSESSMENT; PROPOFOL INFUSION SYNDROME; PRESCHOOL-AGED CHILDREN; INDEPENDENT RISK-FACTOR;

D O I：

10.1097/EJA.0000000000000594

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

The purpose of this guideline is to present evidence-based and consensus-based recommendations for the prevention and treatment of postoperative delirium. The cornerstones of the guideline are the preoperative identification and handling of patients at risk, adequate intraoperative care, postoperative detection of delirium and management of delirious patients. The scope of this guideline is not to cover ICU delirium. Considering that many medical disciplines are involved in the treatment of surgical patients, a team-based approach should be implemented into daily practice. This guideline is aimed to promote knowledge and education in the preoperative, intraoperative and postoperative setting not only among anaesthesiologists but also among all other healthcare professionals involved in the care of surgical patients.

引用

页码：192 / 214

页数：23

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