Ezinne O Igwe1, Victoria Traynor2, Sheila Rodgers3, Alasdair Waite4, Alasdair MacLullich5, Irwin Foo6. 1. Research Associate, School of Medicine, University of Wollongong, Australia; Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, NSW, Australia. 2. Professor of Nursing, School of Nursing, University of Wollongong, Australia; Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, NSW, Australia. 3. Senior lecturer, School of Health in Social Science, The University of Edinburgh, UK. 4. Consultant Anesthetist, Critical Care and Pain Medicine, Western General Hospital, UK. 5. Professor of Geriatric Medicine, Geriatric Medicine Unit, University of Edinburgh, UK. 6. Consultant Anesthetist, Department of Anaesthesia, National Health Service (NHS), UK.
Abstract
BACKGROUND: Postoperative delirium is a major complication associated with anaesthesia and surgery, more commonly seen in older people. AIMS: The aims of this study were to explore the knowledge and understanding of anaesthetists and nurses involved in anaesthesia through their responses to two case scenarios of postoperative delirium experienced by older people. METHODS: A 30-item online survey was sent to 500 potential respondents. RESULTS: Two hundred and twenty-six practitioners from Australia, New Zealand and Scotland responded. Most had no workplace protocols for anaesthesia planning in older people. There was substantial variability in practice in relation to postoperative delirium screening, detection, prevention and management. CONCLUSIONS: Improvements in education and awareness, together with a more coherent approach, for example, as recommended in the European Society of Anaesthesiology Guidelines, could help to reduce the impact of postoperative delirium in older people. This should be combined with ongoing research into perioperative optimisation of detection, prevention and management of postoperative delirium.
BACKGROUND: Postoperative delirium is a major complication associated with anaesthesia and surgery, more commonly seen in older people. AIMS: The aims of this study were to explore the knowledge and understanding of anaesthetists and nurses involved in anaesthesia through their responses to two case scenarios of postoperative delirium experienced by older people. METHODS: A 30-item online survey was sent to 500 potential respondents. RESULTS: Two hundred and twenty-six practitioners from Australia, New Zealand and Scotland responded. Most had no workplace protocols for anaesthesia planning in older people. There was substantial variability in practice in relation to postoperative delirium screening, detection, prevention and management. CONCLUSIONS: Improvements in education and awareness, together with a more coherent approach, for example, as recommended in the European Society of Anaesthesiology Guidelines, could help to reduce the impact of postoperative delirium in older people. This should be combined with ongoing research into perioperative optimisation of detection, prevention and management of postoperative delirium.
Authors: Sanjay Mohanty; Ronnie A Rosenthal; Marcia M Russell; Mark D Neuman; Clifford Y Ko; Nestor F Esnaola Journal: J Am Coll Surg Date: 2016-01-04 Impact factor: 6.113
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Authors: César Aldecoa; Gabriella Bettelli; Federico Bilotta; Robert D Sanders; Riccardo Audisio; Anastasia Borozdina; Antonio Cherubini; Christina Jones; Henrik Kehlet; Alasdair MacLullich; Finn Radtke; Florian Riese; Arjen J C Slooter; Francis Veyckemans; Sylvia Kramer; Bruno Neuner; Bjoern Weiss; Claudia D Spies Journal: Eur J Anaesthesiol Date: 2017-04 Impact factor: 4.330