Delirium primary prevention: Difference between revisions
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Replaced content with "__NOTOC__ {{Delirium}} {{CMG}}; {{AE}} Vishal Khurana, M.B.B.S., M.D. [mailto:vishdoc24@gmail.com] ==Overview== ===Primary Prevention=== ==Refer..." |
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==Overview== | ==Overview== | ||
===Primary Prevention=== | ===Primary Prevention=== | ||
It is important to prevent delirium as delirium is itself neurotoxic. It is associated with global brain atrophy and white matter disruption. Various pharmacological interventions have shown oromising results in prevention of delirium, which are as follows, | |||
* Post operative delirium, | |||
*: Haloperidol, | |||
*: Second-generation antipsychotics, | |||
*: Iliac fascia block, | |||
*: Gabapentin, | |||
*: Lower levels of intraoperative propofol sedation, | |||
*: A single dose of ketamine during anesthetic induction | |||
*Mechanically ventilated medical and surgical ICU patients, | |||
*: Continuous intravenous infusion of dexmedetomidine | |||
*Acutely ill general medical patients population, | |||
*: Melatonin<ref>{{Cite web | last = | first = | title = http://ajp.psychiatryonline.org/article.aspx?articleID=1795082 | url = http://ajp.psychiatryonline.org/article.aspx?articleID=1795082 | publisher = | date = | accessdate = }}</ref> | |||
==References== | ==References== | ||
Revision as of 04:06, 18 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Khurana, M.B.B.S., M.D. [2]
Overview
Primary Prevention
It is important to prevent delirium as delirium is itself neurotoxic. It is associated with global brain atrophy and white matter disruption. Various pharmacological interventions have shown oromising results in prevention of delirium, which are as follows,
- Post operative delirium,
- Haloperidol,
- Second-generation antipsychotics,
- Iliac fascia block,
- Gabapentin,
- Lower levels of intraoperative propofol sedation,
- A single dose of ketamine during anesthetic induction
- Mechanically ventilated medical and surgical ICU patients,
- Continuous intravenous infusion of dexmedetomidine
- Acutely ill general medical patients population,
- Melatonin[1]
References
- ↑ "http://ajp.psychiatryonline.org/article.aspx?articleID=1795082". External link in
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