Notice: Get a jump on 2015 — Pay your 2015 ASA membership dues now!

>

MEETINGS / EVENTS

RSS

January 23 - 25 2015, 12:00 AM - 12:00 AM

ASA PRACTICE MANAGEMENT 2015

February 07 - 08 2015, 12:00 AM - 12:00 AM

ASA Certificate in Business Administration 2015

June 26 - 28 2015, 12:00 AM - 12:00 AM

Annual Perioperative Surgical Home Summit

>

FDA MEDWATCH ALERTS

December 18, 2014

0.9 Percent Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container by Baxter: Recall - Particulate Matter

Summary:

FDA MedWatch Recall - Particulate Matter

November 21, 2014

FDA MedWatch - Respironics California, Esprit V1000 and V200 Ventilators: Class I Recall - Power Failure May Occur

Summary:

FDA MedWatch Respironics California Esprit V1000 and V200 Ventilators Class I Recall

November 21, 2014

FDA MedWatch - Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL by Baxter: Recall - Mislabeled

Summary:

Highly Concentrated Potassium Chloride Injection 10 mEq per 100 mL by Baxter Recall Mislabeled

>

ASA FEATURED PRODUCT

Add this product to your shopping cart

Self-Education and Evaluation (SEE) Program

SKU: 30701-14CE

... Read more »

Single Copies, Member Price: $360

Postoperative delirium more likely in elderly patients who have diabetes, undergo longer surgeries or respond poorly to stress, study shows

San Francisco — (October 14, 2013) 

Elderly surgical patients are more likely to suffer from debilitating post-operative delirium if they have diabetes, undergo longer surgery or respond poorly to stress, according to a study presented at the ANESTHESIOLOGY™ 2013 annual meeting. 

The research could help doctors prevent postoperative delirium, which can lead to longer hospital stays, poor recovery and higher death rates.

As the country’s population ages, identifying patients at high-risk for developing postoperative delirium is increasingly important. The incidence of postoperative delirium ranges from two to 33 percent in elderly patients undergoing major surgery, depending on the patient’s risk factors and the degree of operative stress. Patients who have postoperative delirium can suffer from fluctuating inattention, disorientation, lethargy, agitation and combative behavior.

“In addition to how disturbing this complication is for patients and their families, it’s also associated with death during surgery and increased medical costs,” said Stacie G. Deiner, M.D., associate professor in the Department of Anesthesiology, Geriatrics and Palliative Care, and Neurosurgery at the Icahn School of Medicine at Mount Sinai, New York. “Studies have shown that patients with postoperative delirium have two to five times the risk of major complications including death. To be able to identify, predict or understand the mechanism of postoperative delirium could help us identify ways to prevent it.”

In the study, 76 patients 68 years or older having major non-cardiac surgery had cognitive testing. The patients were assessed daily using the Confusion Assessment Method and the Mini Mental Status Exam. Blood was collected and tested for cortisol, epinephrine and norepinephrine hormone levels before surgery, just before removing the breathing tube used during surgery and two hours after surgery.

The study found that higher peak stress response levels (also known as the adrenal response) two hours after the start of surgery, diabetes and the length of the surgery were highly predictive of postoperative delirium.

“By understanding who may be at high risk for postoperative delirium, we can work on interventions for these patients, such as considering giving them antipsychotic medications before surgery, carefully monitoring the depth of anesthesia, and/or having patients see a geriatrics specialist prior to surgery,” said Dr. Deiner.

THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org . To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Like ASA on Facebook , follow ASALifeline on Twitter and follow ASA on LinkedIn .

###

Contact:

American Society of Anesthesiologists
pr@asahq.org
847-825-5586