Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942008000600012
Brazilian Journal of Anesthesiology
Miscellaneous

Delirium pós-operatório em idosos

Postoperative delirium in the elderly

Fabiano Timbó Barbosa; Rafael Martins da Cunha; André Luiz Carvalho Leme Teixeira Pinto

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Resumo

JUSTIFICATIVA E OBJETIVOS: O delirium pós-operatório é complicação comum na faixa etária avançada, tem fisiopatologia pobremente esclarecida e tem como um dos sintomas o delírio. O delírio parece estar relacionado com a atividade colinérgica central. O objetivo deste artigo foi descrever a etiologia, o diagnóstico, as estratégias de prevenção e o tratamento do delirium pós-operatório por meio da revisão de literatura. CONTEÚDO: Foram descritos as prováveis etiologias, o diagnóstico, a prevenção e o tratamento do delirium pós-operatório em idosos. CONCLUSÕES: A incidência de delirium pós-operatório é maior nos pacientes idosos e as estratégias de prevenção devem ser utilizadas para redução da mortalidade associada a essa complicação anestésico-cirúrgica.

Palavras-chave

CIRURGIA, COMPLICAÇÕES, COMPLICAÇÕES

Abstract

BACKGROUND AND OBJECTIVES: Postoperative delirium is a common complication in the elderly whose pathophysiology is not well known. It seems to be related to central cholinergic activity. A literature review was undertaken to describe the etiology, diagnosis, prophylactic strategies, and treatment of postoperative delirium.
CONTENTS: Probable etiologies, diagnosis, prophylaxis, and treatment of postoperative delirium in the elderly were described.
CONCLUSIONS: The incidence of postoperative delirium is higher in the elderly, and prophylactic measures should be taken to reduce the mortality associated with this complication.

Keywords

COMPLICATIONS: delirium; SURGERY: elderly.

References

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