Journals / Türk Anestezi ve Reanimasyon Dergisi / 2008 / Cilt: 36 - Sayı: 2

Approach to agitation during the early postoperative period in a young male subject

Genç erkek hastada postoperatif erken dönemdeki ajitasyona yaklaşım

Pages
128–133
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, we aimed to present the diagnosis and treatment of delirium observed in a young male subject during the acute phase of recovery following general anesthesia for a minor surgery like functional endoscopic sinus surgery and septoplasty in accordance with the terms and definitions of postoperative cognitive disorders by reviewing the literature.

📌 3 Key Takeaways

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Objective & Hypothesis:Impairment in the memory and high cerebral functions extending from minutes to several hours might be observed following general anesthesia during the early phase of recovery.
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Key Findings & Data:Delirium which is the most well-known postoperative cognitive disorder is characterized by the loss of orientation and deterioration of attention and memory and described as acute confusional state persisting for weeks or months after surgery.
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Conclusion & Impact:In this case report, we aimed to present the diagnosis and treatment of delirium observed in a young male subject during the acute phase of recovery following general anesthesia for a minor surgery like functional endoscopic sinus surgery and septoplasty in accordance with the terms and definitions of postoperative cognitive disorders by reviewing the literature.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Impairment in the memory and high cerebral functions extending from minutes to several hours might be observed following general anesthesia during the early phase of recovery. Delirium which is the most well-known postoperative cognitive disorder is characterized by the loss of orientation and deterioration of attention and memory and described as acute confusional state persisting for weeks or months after surgery. In this case report, we aimed to present the diagnosis and treatment of delirium observed in a young male subject during the acute phase of recovery following general anesthesia for a minor surgery like functional endoscopic sinus surgery and septoplasty in accordance with the terms and definitions of postoperative cognitive disorders by reviewing the literature.

Özet

Genel anestezi sonrası derlenmenin erken fazında dakikalardan saatlere kadar sürebilen bellek ve yüksek serebral fonksiyonlarda bozulma gözlenebilir. Postoperatif kognitif bozuklukların en çok bilinen formu olan deliryum; oryantasyon kaybı, dikkat ve belleğin bozulmasıyla karakterize gün içinde değişim gösteren akut konfüzyonel bir durum olarak tanımlanır. Bu olgu sunumunda, genel anestezi altında fonksiyonel endoskopik sinüs cerrahisi ve septoplasti gibi bir minör ameliyat geçiren genç erkek olguda, derlenmenin akut fazında gelişen deliryumun tanı ve tedavisi ile postoperatif kognitif bozukluklarla ilgili tanım ve kavramlar gözden geçirilerek literatür eşliğinde sunulması amaçlandı.

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Cite This Article

KOÇ, C., ÖZKÖSE, Z., ALKAN, G., ARPACI, H., GÜNAYDIN, B. (2022). Approach to agitation during the early postoperative period in a young male subject. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 36 - Sayı: 2, 128–133. https://ajindex.com/articles/619976

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References (16)

  1. Tzabar Y, Asbury AJ, Millar K. Cognitive failures after general anesthesia for day case surgery. Br J Anaesth 1996; 76:194-197
  2. Moos DD. Sevoflurane and emergence behavioral changes in pediatrics. J Perianesth Nurs. 2005; 20:13-18
  3. Moller JT, Rasmussen LS. Cognitive dysfunction after anaesthesia. Curr Anaesth Crit Care 1998; 9:307-311
  4. Pratico C, Quattrone D, Lucanto T, Amato A, Pena O, Roscitano C, Fodale V. Drugs of anesthesia acting on central cholinergic system may cause postoperative cognitive dysfunction and delirium. Med Hypotheses 2005; 65:972-982
  5. Tuğlu C, Yıldırım E. Hastanede yatarak tedavi gören hastalarda sık karşılaşılan psikiyatrik bir sendrom: Deliryum. Trakya Üniv Tıp Fak Dergisi 2002; 19:55-64
  6. Türkcan A. Deliryum. Psikiyatri Dünyası 2001; 5:15-23
  7. Rasmussen LS. Postoperative cognitive dysfunction: Incidence and prevention. Best Prac Res Clin Anaesth 2006; 20:315-330
  8. Kalisvaart KJ, de Jonghe JF, Bogaards MJ, Vreeswijk R, Egberts TC, Burger BJ, Eihelenboom P, Van Gool WA. Haloperidol Prophylaxis for Elderly Hip-Surgery Patients at Risk for Delirium: A Randomized Placebo-Controlled Study. J Am Geriatr Soc 2005; 53:1658-1666
  9. Bitsch MS, Foss NB, Kristensen BB, Kehlet H. Acute cognitive dysfunction after hip fracture: frequency and risk factors in an optimized, multimodal, rehabilitation program. Acta Anaesthesiol Scand 2006; 50:428-436
  10. Kuşçu MK, Topçuoğlu V, Altunel Ö, Bez Y. Deliryum tanısıyla takip edilen hastaların izlem sonuçları. Anatol J Psy 2004; 5:16-21
  11. Smith RJ, Roberts NM, Rodgers RJ, Bennett S. Adverse cognitive effects of general anaesthesia in young and elderly patients. Int Clin Psychopharmacol 1986; 1: 253-259
  12. Hanning CD. Postoperative cognitive dysfunction. Br J Anaesth 2005; 95:82-87
  13. Gunaydin B, Babacan A. Cerebral hypoperfusion after cardiac surgery and anesthetic strategies: A comparative study with high dose fentanyl and barbiturate anesthesia. Ann Thorac Cardiovasc Surg 1999; 4:12-17
  14. Onur E, Cimilli C, Ulaş H. Psikiyatri konsültasyonlarında deliryum. Demans Dergisi 2003; 3:127-130
  15. Ruphert J, Dworacek B. Central anticholinergic syndrome during postoperative period. Ann Fr Anaesth Reanim 1990; 9:295-304
  16. Sun KO. Central anticholinergic syndrome following reversal of neuromuscular blockade. Anaesth Intensive Care 1993; 21:363-365.