New thinking about postoperative delirium

Redelmeier, Donald
August 2007
CMAJ: Canadian Medical Association Journal;8/14/2007, Vol. 177 Issue 4, p424
Academic Journal
The article presents the author's views on the reasons and diagnosis of postoperative delirium. It is viewed that failure of cerebral auto-regulation due to administration of anesthetics could be the reason behind the delirium, and not the chaotic nature of hospital wards as commonly perceived. It is suggested that pre-operative medications that disrupt cerebral auto-regulation should be avoided to prevent the occurrence of postoperative delirium.


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