2010, Número 3
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Rev Mex Cardiol 2010; 21 (3)
Causas de delirium en adultos mayores postoperados de cirugía cardiaca
Villalobos SJA, García ZT, Reyna SJL, Montes OSMA
Idioma: Español
Referencias bibliográficas: 31
Paginas: 111-120
Archivo PDF: 246.84 Kb.
RESUMEN
El delirium es quizá una de las formas de presentación más frecuentes de enfermedad aguda en el paciente anciano y de las complicaciones más observadas en el postoperatorio de cirugía cardiaca y durante el curso de su hospitalización. No es una enfermedad en sí misma, sino un síndrome caracterizado por alteraciones en la conciencia, atención y percepción, acompañados de un cambio en las funciones cognitivas, que se desarrolla en forma aguda, fluctúa a lo largo del día y no es atribuible a un estado demencial.
REFERENCIAS (EN ESTE ARTÍCULO)
Lipowski ZJ. Delirium in the elderly patient. N Engl J Med 1989; 320(9): 578-82.
Galanakis P, Bickel H, Gradinger R et al. Acute confusional state in the elderly following hip surgery: Incidence, risk factors and complications. Int J Geriatr Psychiatry 2001; 16(4): 349-55.
O’Keefe ST, Chonchubhair AN. Postoperative delirium in the elderly. Br J Anaesth 1994; 73: 673-87.
Ely EW, Inouye SK, Bernard GR et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the Intensive Care Unit (CAM-ICU). JAMA 2001; 286(21): 2703-10.
Pandharipande PP, Pun BT, Herr DL et al. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. JAMA 2007; 298(22): 2644-53.
Koponen H, Hurri L, Stenback U et al. Computed tomography findings in delirium. J Nerv Ment Dis 1989; 177(4): 226-31.
McCusker J, Cole M, Dendukuri N et al. Delirium in older medical inpatients and subsequent cognitive and functional status: a prospective study. Can Med Assoc J 2001; 165(5): 575.
Marshall JC. Inflammation, coagulopathy, and the pathogenesis of multiple organ dysfunction syndrome. Crit Care Med 2001; 29 (Suppl): S99-106.
Teunissen CE, van Boxtel MP, Bosma H et al. Inflammation markers in relation to cognition in a healthy cognitive outcomes in ICU survivors 151 aging population. J Neuroimmunol 2003; 134(1-2): 142-50.
Yaffe K, Lindquist K, Penninx BW et al. Inflammatory markers and cognition in well-functioning African- American and white elders. Neurology 2003; 61(1): 76-80.
Ely EW SA, Bernard G et al. Delirium in the ICU is associated with prolonged length of stay in the hospital and higher mortality. Am J Respir Crit Care Med 2002; 165: A23.
Ely EW, Gautam S, Margolin R et al. The impact of delirium in the Intensive Care Unit on hospital length of stay. Intensive Care Med 2001; 27: 1892-1900.
Coller ZV SA, Truman B. The impact of delirium in the ICU on outcomes of mechanical ventilation. Am J Respir Crit Care Med 2003: A970.
Milbrandt EB DS, Harrison P et al. ICU delirium: A costly complication of critically ill patients. Am J Respir Crit Care Med 2003: A969.
Dubois MJ, Bergeron N, Dumont M, Dial S, Skrobik Y. Delirium in an Intensive Care Unit: a study of risk factors. Intensive Care Med 2001; 27: 1297-1304.
Jacobi J, Fraser GL, Coursin DB et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002; 30: 119-141.
Freedman NS, Gazendam J, Levan L, Pack AI, Schwab RJ. Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the Intensive Care Unit. Am J Respir Crit Care Med 2001; 163: 451-457.
Walder B, Francioli D, Meyer JJ, Lancon M, Romand JA. Effects of guidelines implementation in a surgical intensive care unit to control night-time light and noise levels. Crit Care Med 2000; 28: 2242-2247.
Hopkins RO, Suchyta MR, Jephson A et al. Hyperglycemia and neurocognitive outcome in ARDS survivors. Proc Am Thorac Soc 2005; 2(1): A36.
Starr JL, Whalley LJ. Drug induced dementia. Drug Saf 1994; 11: 310-7.
Griffith HR, Belue K, Sicola A et al. Impaired financial abilities in mild cognitive impairment: a direct assessment approach. Neurology 2003; 60: 449-57.
Rahkonen T, Eloniemi-Sulkava U, Halonen P et al. Delirium in the non-demented oldest old in the general population: risk factors and prognosis. Int J Geriatr Psychiatry 2001; 16(4): 415-21.
Rockwood K, Cosway S, Carver D et al. The risk of dementia and death after delirium. Age Ageing 1999; 28(6): 551-6.
Seitz DP, Gill SS, van Zyl LT. Antipsychotics in the treatment of delirium: a systematic review. J Clin Psychiatry 2007; 68: 11-21.
Riker RR, Fraser GL, Cox PM. Continuous infusion of haloperidol controls agitation in critically ill patients. Crit Care Med 1994; 22: 433-440
Breitbart W, Marotta R, Platt MM et al. A double-blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients. Am JPsychiatry 1996; 153: 231-237
Sharma ND, Rosman HS, Padhi ID, Tisdale JE. Torsade de Pointes associated with intravenous haloperidol in critically ill patients. Am J Cardiol 1998; 81: 238-240.
Huyse F, van Schijndel RS. Haloperidol and cardiac arrest. Lancet 1988; 2: 568-569.
Hopkins RO, Jackson JC. Short- and long-term cognitive outcomes in intensive care unit survivors. Clin Chest Med 2009; 30: 143-153.
Cartier R. Off-pump coronary artery revascularization in octogenarians: is it better? Curr Opin Cardiol 2009; 24: 544-552.
Devlin JW, Roberts RJ, Fong JJ et al. Efficacy and safety of quetiapine in critically ill patients with delirium: A prospective, multicenter, randomized, double-blind, placebo-controlled pilot study. Crit Care Med 2010; 38.