Preview

Травматология и ортопедия России

Расширенный поиск

Послеоперационный делирий: факторы риска и профилактика в ортопедо-травматологической практике (обзор литературы)

https://doi.org/10.21823/2311-2905-2013--2-128-135

Полный текст:

Аннотация

Проведен анализ публикаций, посвященных послеоперационному делирию, развитие которого представляется актуальной и социально значимой проблемой ортопедии и травматологии. В обзоре приводятся современные представления о патогенезе, факторах риска, диагностике, методах лечения и профилактике этого осложнения. Сделано заключение, что основным направлением профилактики послеоперационного делирия является модификация факторов риска его развития.

Об авторе

В. А. Корячкин
ФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава России
Россия


Список литературы

1. Ибрагимов Н.Ю. Послеоперационный делирий и когнитивные нарушения у пожилых пациентов: факторы риска и профилактика [автореф. дис. ... канд. мед. наук]. СПб.: МАПО; 2009.

2. Смулевич А.Б. Психические расстройства в клинической практике. М.: МЕДпресс-информ; 2012. Smulevich A.B. Psikhicheskiye rasstroystva v klinicheskoy praktike [Psychiatric disorders in clinical practice]. M.: MEDpress-inform; 2012.

3. Bergeron N., Dubois M.J., Dumont M., Dial S., Skrobik Y. Intensive care delirium screening checklist: evaluation of a new screening tool. Intensive Care Med. 2001;27(5):859-864.

4. Campbell N., Boustani M.A., Ayub A., Fox G.C., Munger S.L., Ott C., Guzman O., Farber M., Ademuyiwa A., Singh R. Pharmacological management of delirium in hospitalized adults — a systematic evidence review. J. Gen. Intern. Med. 2009;24(7):848-853.

5. Chaput A.J., Bryson G.L. Postoperative delirium: risk factors and management: continuing professional development. Can. J. Anaesth. 2012;59(3):304-320.

6. Contín A.M., Perez-Jara J., Alonso-Contín A., Enguix A., Ramos F. Postoperative delirium after elective orthopedic surgery. Int. J. Geriatr. Psychiatry. 2005;20(6):595-597.

7. Crocq M.A., Camus V., Millet B., Gliskman J., Azorin J.M., Krebs M.O., Limosin F., Costentin J., Daléry J. Clinical potentialities and perspectives for the use of aripiprazole in other disorders than its classical indications. A critical analysis of the recent literature. Encephale. 2008;34(2):187-193.

8. Díaz V., Rodríguez J., Barrientos P., Serra M., Salinas H., Toledo C., Kunze S., Varas V., Santelices E., Cabrera C., Farías J., Gallardo J., Beddings M.I., Leiva A., Cumsille M.A. Use of procholinergics in the prevention of postoperative delirium in hip fracture surgery in the elderly. A randomized controlled trial. Rev. Neurol. 2001; 33(8):716-719.

9. Ely E.W., Gautam S., Margolin R., Francis J., May L., Speroff T., Truman B., Dittus R., Bernard R., Inouye S.K. The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Med. 2001;27(12):1892-1900.

10. Ely W., Shintani A., Tmman B., Speroff T., Gordon S., Harrell F., Inouye S.K., Bernard G.R., Dittus R.S. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004; 291: 1753-1762.

11. Figueroa-Ramos M., Arroyo-Novoa C., Lee K., Padilla G., Puntillo K. Sleep and delirium in ICU patients: A review of mechanisms and manifestations. Intensive Care Med. 2009; 35:781-795.

12. Fong H.K., Sands L.P., Leung J.M. The role of postoperative analgesia in delirium and cognitive decline in elderly patients. 2006;102:1255-1266.

13. Furuse T., Hashimoto K. Sigma-1 receptor agonist fluvoxamine for delirium in intensive care units: report of five cases. Ann. Gen. Psychiatry. 2010;9:18.

14. Girard T.D., Jackson J.C., Pandharipande P.P., Pun B.T., Thompson J.L., Shintani A.K., Gordon S.M., Canonico A.E., Dittus R.S., Bernard G.R., Ely E.W. Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit. Care Med. 2010; 38(7):1513-1520.

15. González M., Martínez G., Calderón J., Villarroel L., Yuri F., Rojas C., Jeria A., Valdivia G., Marín P.P., Carrasco M. Impact of delirium on short-term mortality in elderly inpatients:a prospective cohort study. Psychosomatics. 2009 May;50(3):234-238.

16. Inouye S.K., Charpentier P.A. Precipitating factors for delirium in hospitalized elderly persons. JAMA. 1996;275:852-857.

17. Inouye S.K. Predisposing and precipitating factors in delirium in hospitalized older patients. Dement. Geriatr. Cogn. Disord. 1999;10:393-400.

18. Kim S.W., Yoo J.A., Lee S.Y., Kim S.Y., Bae K.Y., Yang S.J., Kim J.M., Shin I.S., Yoon J.S. Risperidone versus olanzapine for the treatment of delirium. Hum Psychopharmacol. 2010;25(4):298-302.

19. Larsen K.A., Kelly S.E., Stern T.A., Bode R.H. Jr., Price L.L., Hunter D.J., Gulczynski D., Bierbaum B.E., Sweeney G.A., Hoikala K.A., Cotter J.J., Potter A.W. Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: a randomized, controlled trial Psychosomatics. 2010;51(5):409-418.

20. Leung J.M., Sands L.P., Vaurio L.E., Wang Y. Nitrous oxide does not change the incidence of postoperative delirium or cognitive decline in elderly surgical patients. Br. J. Anaesth. 2006;96(6):754-760.

21. Lin S.M., Liu C.Y., Wang C.H., Lin H.C., Huang C.D., Huang P.Y., Fang Y.F., Shieh M.H., Kuo H.P. The impact of delirium on the survival of mechanically ventilated patients. Crit. Care Med. 2004; 32: 2254-2259.

22. Liptzin B., Levkoff S.E. An empirical study of delirium subtypes. Br. J. Psychiatry. 1992;161:843-845.

23. Litaker D., Locala J., Franco K., Bronson D.L., Tannous Z. Preoperative risk factors for postoperative delirium. 2001;23:84-89.

24. Lonergan E., Luxenberg J., Areosa Sastre A., Wyller T.B. Benzodiazepines for delirium. Cochrane Database Syst. Rev. 2009;(1):CD006379.

25. Mac Sweeney R., Barber V., Page V., Ely E.W., Perkins G.D., Young J.D., McAuley D.F. Intensive care foundation. A national survey of the management of delirium in UK intensive care units. QJM. 2010;103(4):243-251.

26. Milbrandt E.B., Deppen S., Harrison P.L., Shintani A.K., Speroff T., Stiles R.A., Truman B., Bernard G.R., Dittus R.S., Ely E.W. Costs associated with delirium in mechanically ventilated patients. Crit. Care Med. 2004;32(4):955-962.

27. Morandi A., Brummel N., Ely W. Sedation, delirium and mechanical ventilation: The ABCDE approach. Current Opinion in Critical Care. 2011; 17: 43-49.

28. Nishikawa K., Nakayama M., Omote K., Namiki A. Recovery characteristics and post-operative delirium after long-duration laparoscope-assisted surgery in elderly patients: propofol-based vs. sevoflurane-based anesthesia. Acta Anaesthesiol. Scand. 2004;48(2):162-168.

29. Noimark D. Predicting the onset of delirium in the postoperative patient. Age Ageing. 2009; 38: 368-373.

30. Ouiinet J., Riker S., Bergeon R., Cossette N., Kavanagh M., Skrobik B.Y. Subsyndromal delirium in the ICU: evidence for a disease svectrum. Intensive Care Med. 2007: 33: 1007-1013.

31. Overshott R., Vernon M., Morris J., Burns A. Rivastigmine in the treatment of delirium in older people: a pilot study. Int. Psychogeriatr. 2010;22(5):812-818.

32. Patel R.P., Gambrell M., Speroff T., Scott T.A., Pun B.T., Okahashi J., Strength C., Pandharipande P., Girard T.D., Burgess H., Dittus R.S., Bernard G.R., Ely E.W. Delirium and sedation in the intensive care unit: Survey of behaviors and attitudes of 1384 healthcare professionals. Crit. Care Med. 2009; 37(3): 825-832.

33. Peritogiannis V., Stefanou E., Lixouriotis C., Gkogkos C., Rizos D.V. Atypical antipsychotics in the treatment of delirium. Psychiatry Clin. Neurosci. 2009;63(5):623-631.

34. Peterson J.F., Pun B.T., Dittus R.S., Thomason J.W., Jackson J.C., Shintani A.K., Ely E.W. Delirium and its motoric subtypes: a study of 614 critically ill patients. Geriatr. Soc. 2006: 54: 479-484.

35. Pisani M.A., Kong S.Y.J., Kasl S.V., Murphy T.E., Araujo K.L.B., Van Ness P.H. Days of delirium are associated with 1-year mortality in an older intensive care unit population. Am. J. Respir. Crit. Care Med. 2009;180:1092-1097.

36. Popeo D.M. Delirium in older adults. Mt Sinai J. Med. 2011; 78(4): 571-582.

37. Radtke F.M., Franck M., MacGuill M., Seeling M., Lütz A., Westhoff S., Neumann U., Wernecke K.D., Spies C.D. Duration of fluid fasting and choice of analgesic are modifiable factors for early postoperative delirium. Eur. J. Anaesthesiol. 2010;27(5):411-416.

38. Riker R.R., Shehabi Y., Bokesch P.M., Ceraso D., Wisemandle W., Koura F., Whitten P., Margolis B.D., Byrne D.W., Ely E.W., Rocha M.G. SEDCOM (Safety and efficacy of dexmedetomidine compared with midazolam) study group. Dexmedetomidine vs midazolam for sedation of critically ill patients: A randomised trial. JAMA. 2009; 301(5): 489-499.

39. Rudolph J.L., Inouye S.K., Jones R.N., Yang F.M., Fong T.G., Levkoff S.E., Marcantonio E.R. Delirium: an independent predictor of functional decline after cardiac surgery. J. Am. Geriatr. Soc. 2010;58:643-649.

40. Salluh J.I., Soares M., Teles J.M., Ceraso D., Raimondi N., Nava V.S., Blasquez P., Ugarte S., Ibanez-Guzman C., Centeno J.V., Laca M., Grecco G., Jimenez E., Arias-Rivera S., Duenas C., Rocha M.G. Delirium epidemiology in critical care study group. Delirium epidemiology in critical care (DECCA): an international study. Critical Care. 2010:14(6): R210.

41. Sampson E.L., Raven P.R., Ndhlovu P.N., Vallance A., Garlick N., Watts J., Blanchard M.R., Bruce A., Blizard R., Ritchie C.W. A randomized, double-blind, placebocontrolled trial of donepezil hydrochloride (Aricept) for reducing the incidence of postoperative delirium after elective total hip replacement. Int. J. Geriatr. Psychiatry. 2007;22(4):343-349.

42. Schrader S.L., Wellik K.E., Demaerschalk B.M., Caselli R.J., Woodruff B.K., Wingerchuk D.M. Adjunctive haloperidol prophylaxis reduces postoperative delirium severity and duration in at-risk elderly patients. Neurologist. 2008;14(2):134-137.

43. Schweickert W.D., Pohlman M.C., Pohlman A.S., Nigos C., Pawlik A.J., Esbrook C.L., Spears L., Miller M., Franczyk M., Deprizio D., Schmidt G.A., Bowman A., Barr R., McCallister K.E., Hall J.B., Kress J.P. Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial. Lancet; 2009; 373(9678); 1874-1882.

44. Sheldon T. Study of rivastigmine for delirium in intensive care is stopped after deaths. BMJ. 2010;340:c2895.

45. Skrobik Y., Ahern S., Leblanc M., Marquis F., Awissi D.K., Kavanagh B.P. Protocolized intensive care unit management of analgesia, sedation, and delirium improves analgesia and subsyndromal delirium rates. Anesth. Analg. 2010;111(2):451-463.

46. Spronk P., Riekerk B., Hofhuis J., Rommes J. Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med. 2009; 35(7); 1276-1280.

47. Strom T., Martinussen T., Toft P. A protocol of no sedation for critically ill patients receiving mechanical ventilation: A randomised trial. Lancet. 2010; 375(9713): 475-480.

48. Tahir T.A., Eeles E., Karapareddy V., Muthuvelu P., Chapple S., Phillips B., Adyemo T., Farewell D., Bisson J.I. A randomized controlled trial of quetiapine versus placebo in the treatment of delirium. J. Psychosom. Res. 2010;69(5):485-490.

49. Tune L., Carr S., Hoag E., Cooper T. Anticholinergic effects of drugs commonly prescribed for the elderly: potential means for assessing risk of delirium. Am. J. Psychiatry. 1992; 149: 1393-1394.

50. Vanstone R., Paddle J., Powell C. Delirium scoring and sedation in a UK ICU. Intensive Care Med. 2009: 35(1): S105.

51. Wang W., Li H.L., Wang D.X., Zhu X., Li S.L., Yao G.Q., Chen K.S., Gu X.E., Zhu S.N. Haloperidol prophylaxis decreases delirium incidence in elderly patients after noncardiac surgery: a randomized controlled trial. Crit. Care Med. 2012;40(3):731-739.

52. Witlox J., Eurelings L.S., de Jonghe J.F., Kalisvaart K.J., Eikelenboom P., van Gool W.A. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia:a meta-analysis. JAMA. 2010;304:443-451.

53. Young J. Delirium: diagnosis, prevention and management. Clinical Guideline 103 July , London, 2010. 448 p.


Для цитирования:


Корячкин В.А. Послеоперационный делирий: факторы риска и профилактика в ортопедо-травматологической практике (обзор литературы). Травматология и ортопедия России. 2013;(2):128-135. https://doi.org/10.21823/2311-2905-2013--2-128-135

For citation:


Koryachkin V.A. Postoperative delirium: risk factors and prevention in orthopaedics and traumatology (review). Traumatology and Orthopedics of Russia. 2013;(2):128-135. (In Russ.) https://doi.org/10.21823/2311-2905-2013--2-128-135

Просмотров: 133


Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 2311-2905 (Print)
ISSN 2542-0933 (Online)