Trojikj, Tatjana and Temelkovska Stevanovska, Marina and Kraleva, Silvana (2021) BIS in preventing postoperative delirium in elderly patient after trauma operations. In: 17th World Congress of Anaesthesiologists, September 1–5, 2021.
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Abstract
Delirium is an acute and reversible failure of basic cognitive and attentional functions. Patients with
delirium are often either agitated (hyperactive type) or lethargic (hypoactive type) or alternate between these subtypes (mixed type). Delirium occurs commonly in older adults, especially when there
is pre-existing neurocognitive impairment and also following an insult such as an infection or a
trauma. Incidence of postoperative delirium (POD) is 37% to 46%. Risk of developing postoperative
delirium increases up to 87 percent depending on the patient age and type of surgery. Postoperative
delirium is associated with increased mortality, cognitive and functional decline, increased hospital
length of stay, and substantial annual health-care costs. Anesthetic depth could be a possible contributor to postoperative delirium. The best way to avoid POD is to monitor depth of anesthesia, for
example If anesthetic dose is high, EEG suppression that occurs is independent factor for POD. When
the dose is too light there could be an increased evidence of awareness during operation that could
lead to cognitive impairment as well.
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Tatjana Trojik |
| Date Deposited: | 31 Mar 2023 11:23 |
| Last Modified: | 31 Mar 2023 11:23 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/31579 |
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