delirium/نقص الأكسجة

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Laryngospasm and hypoxia after intramuscular administration of ketamine to a patient in excited delirium.

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An advanced life support emergency medical services (EMS) unit was dispatched with law enforcement to a report of a male patient with a possible overdose and psychiatric emergency. Police restrained the patient and cleared EMS into the scene. The patient was identified as having excited delirium,

Does hypoxia affect intensive care unit delirium or long-term cognitive impairment after multiple trauma without intracranial hemorrhage?

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BACKGROUND Within the traumatic brain injury population, outcomes are affected by hypoxic events in the early injury period. Previous work shows a high prevalence of cognitive deficits in patients with multiple injuries who do not have intracranial hemorrhage identified on admission head computed

Rare cause of delirium and hypoxemia after coronary bypass surgery: transdermal lidocaine patch-associated methemoglobinemia.

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We present a case of a patient administered parasternal transdermal lidocaine patch therapy as part of a multimodal analgesic regime designed to diminish opioid-associated delirium after coronary bypass surgery. The patient presented with delirium and severe methemoglobinemia (41%) that responded to

Hypoxemia and pulmonary dysfunction associated with delirium tremens.

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Postanesthetic delirium: historical perspectives.

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Postanesthetic delirium is a type of postoperative emotional response occurring immediately after emergence from general anesthesia. Associated with excitement and confusion, the alternative terms emergence delirium or postanesthetic excitement are frequently used. Historically, the more

[Clinical analysis of postoperative delirium in elderly patients with benign prostatic hyperplasia].

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OBJECTIVE To study the influential factors leading to postoperative delirium in elderly patients with benign prostatic hyperplasia(BPH). METHODS For 198 elderly postoperative BPH patients in our hospital, the clinical parameters including age, hypoxemia, postoperative pain, and sleep reduction were

Perioperative Multicomponent Interdisciplinary Program Reduces Delirium Incidence in Elderly Patients With Hip Fracture.

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BACKGROUND: Delirium is common in elderly patients with hip fracture. Although several multicomponent care pathways have been developed, few nurse-led perioperative multicomponent programs have been evaluated. OBJECTIVES: The current study aimed to evaluate the effect of a nurse-led

Prognosis of delirium in hospitalized elderly: worse than we thought.

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BACKGROUND Despite treatment of the associated condition, delirious persons do not always recover for unknown reasons. We sought to determine early prognostic indicators of poor recovery following an episode of delirium in older medical in-patients. METHODS Between October 2009 and July 2011,

The influence of oxygen delivery during cardiopulmonary bypass on the incidence of delirium in CABG patients; a retrospective study.

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UNASSIGNED Postoperative delirium is the most common neurological complication of cardiac surgery. Hypoxia has been shown to increase the risk of postoperative delirium. The possibility to continuously monitor oxygen delivery (DO2) during cardiopulmonary bypass (CPB) offers an adequate approximation

[Efficacy of dexmedetomidine for controlling delirium in intensive care unit patients].

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BACKGROUND We have examined the effect of dexmedetomidine, a selective alpha2-adrenoreceptor agonist, for controlling delirium in patients in the intensive care unit. METHODS Intravenous infusion of dexmedetomidine (0.05-0.40 microg kg(-1) hr(-1)) was started at the onset of delirium, and its effect

Risk factors for onset of delirium after neck of femur fracture surgery: a prospective observational study.

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BACKGROUND Delirium is a common complication after surgery in the elderly that leads to increased length of stay and other adverse outcomes. The aim of this study was to better understand the exact causes of post-operative delirium in patients undergoing surgery for neck of femur (NOF)

Occult hypoxia after femoral neck fracture and elective hip surgery.

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The incidence of hypoxia after femoral neck and total hip arthroplasty was investigated. In addition, the incidence of preoperative and postoperative delirium was assessed. Oxygen saturation and mental status were tested before and after surgery in patients undergoing surgery for a femoral neck

[Risk factors for delirium of elderly patients undergoing hip fracture operation].

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OBJECTIVE To explore the causes for delirium of elderly patients after hip fracture operation. METHODS A total of 68 cases of delirium were selected from 458 patients aged over 65 years undergoing hip fracture operation via spinal anesthesia from 2009 to 2011. There were 26 males and 42 females with

Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study.

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BACKGROUND Residual neuromuscular block (NMB) after general anesthesia has been associated with pulmonary dysfunction and hypoxia, which are both associated with postoperative delirium (POD). We evaluated the effects of sugammadex on POD in elderly patients who underwent hip fracture

[Delirium in old age can be prevented and treated].

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BACKGROUND Delirium is a common neuropsychiatric syndrome characterized by disturbance of attention and consciousness developing over a short period of time. Symptoms tend to fluctuate during the course of the day. Delirium is by definition a direct physiological consequence of a general medical

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