delirium/obésité

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Drug dosing in the critically ill obese patient-a focus on sedation, analgesia, and delirium

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Practice guidelines provide clear evidence-based recommendations for the use of drug therapy to manage pain, agitation, and delirium associated with critical illness. Dosing recommendations however are often based on strategies used in patients with normal body habitus. Recommendations specific to

The effect of desflurane versus propofol anesthesia on postoperative delirium in elderly obese patients undergoing total knee replacement: A randomized, controlled, double-blinded clinical trial.

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OBJECTIVE The goal of this study was to investigate the incidence of delirium, wake-up times and early post-operative cognitive decline in one hundred obese elderly patients undergoing total knee arthroplasty. METHODS Prospective randomized trial. METHODS Operating room, postoperative recovery area,

Parameters affecting the course and results of delirium tremens treatment.

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The histories of 778 patients were analysed in respect of the course, type of treatment and lethality of delirium tremens. The lethality was highest in patients in the higher age range, those who were overweight and in spirit drinkers. The lowest mortality was in the patients treated with

Factors associated with sudden death of individuals requiring restraint for excited delirium.

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The purpose of this article is to identify and rank factors associated with sudden death of individuals requiring restraint for excited delirium. Eighteen cases of such deaths witnessed by emergency medical service (EMS) personnel are reported. The 18 cases reported were restrained with the wrists

Double-Wire versus Single-Wire Sternal Closure in Obese Patients: a Randomized Prospective Study.

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Background Sternal instability after coronary artery bypass grafting (CABG) is a serious complication. Obese patients are at high risk for sternal instability after CABG. This study was conducted to assess the positive impact of double-wire sternal closure on sternal instability. Methods A total of

Ertapenem-Induced Hallucinations and Delirium in an Elderly Patient.

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OBJECTIVE To report a case of ertapenem-induced hallucinations and delirium in an elderly, morbidly obese patient. UNASSIGNED A 71-year-old male was receiving intravenous antibiotics at an outside nursing facility through our Outpatient Parenteral Antimicrobial Therapy (OPAT) program, which has

Incidence and risk factors associated with postoperative delirium following primary elective total hip arthroplasty: a retrospective nationwide inpatient sample database study

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Background: Postoperative delirium is a common complication following major surgeries, leading to a variety of adverse effects. However, there is a paucity of literatures studying the incidence and risk factors associated with delirium

Delirium after lung transplantation: Association with recipient characteristics, hospital resource utilization, and mortality.

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Delirium is associated with increased morbidity and mortality. The factors associated with post-lung transplant delirium and its impact on outcomes are under characterized. The medical records of 163 consecutive adult lung transplant recipients were reviewed for delirium within 5 days (early-onset)

Three postmortem case reports of the excited delirium syndrome - A short comparison.

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The purpose of the work is to show and compare three reported cases of Excited Delirium Syndrome, which happened in Warsaw, Poland, from 2013 to 2017. We compared the results of three autopsy and toxicological findings of unexpectedly deceased males and the circumstances of their

Sleep apnea, delirium, depressed mood, cognition, and ADL ability after stroke.

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OBJECTIVE The incidence of sleep apnea and stroke increases with age. The aim of this study was to investigate the presence of sleep apnea after stroke and its relationship to delirium, depressed mood, cognitive functioning, ability to perform activities of daily living (ADLs), and psychiatric and

Recurrent delirium associated with obstructive sleep apnea.

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I describe a case of recurrent delirium associated with OSA in a morbidly obese man. Continuous positive airway pressure (CPAC) therapy alleviated the OSA and delirium but was only partially effective in preventing relapses of delirium. Gastric stapling helped to secure considerable weight loss with

Excited Delirium: A Systematic Review.

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OBJECTIVE We aimed to clarify the definition, epidemiology, and pathophysiology of excited delirium syndrome (ExDS) and to summarize evidence-based treatment recommendations. METHODS We conducted a systematic literature search of MEDLINE, Ovid, Web of Knowledge, and Cochrane Library for articles

Obesity and post-operative cognitive dysfunction: a systematic review and meta-analysis.

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Post-operative cognitive dysfunction, a condition distinct from post-operative delirium (POD), occurs frequently after surgery, and is related to dementia and premature death. Obesity increases the risk of late-life cognitive impairment, but little is known about its role in post-operative cognitive

Strategies in postoperative analgesia in the obese obstructive sleep apnea patient.

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OBJECTIVE Obstructive sleep apnea (OSA) has become an epidemic worldwide, and OSA patients frequently present for surgery. Comorbidities such as cardiovascular disease, diabetes, hypertension, stroke, gastrointestinal disorder, metabolic syndrome, chronic pain, delirium, and pulmonary disorder

Assessment and management of agitation, sleep, and mental illness in the surgical ICU

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Purpose of review: Increased focus on patient-centered outcomes, mental health, and delirium prevention makes this review timely and relevant for critical care. Recent findings:

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