Contributed by Angela Chen, BA1, 2; Robert Whittington, MD1; Cecilia Canales, MD, MPH1. 1. Department of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. 2. Chicago Medical School, Rosalind Franklin University of Medicine & Science, North Chicago, IL, USA Background Older adults are highly vulnerable to postoperative delirium, particularly […]
Contributed by Noa Mintz, ScB, Brown University, Providence, RI and Michael Reznik, MD, Department of Critical Care Medicine & Neurology, University of Pittsburgh, Pittsburgh, PA Background Patients with acute stroke are at a high risk for delirium, which may occur in up to half of cases depending on the type of stroke.1–4 However, post-stroke delirium […]
Contributed by Kyra O’Brien MD and Mark Neuman MD MSc, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Background The impact of general anesthesia on postoperative outcomes in patients with cognitive impairment is often debated. Some have posited that general anesthesia may have neurotoxic effects and therefore increase the risk of postoperative delirium and […]
Stacie Deiner MS MD, LeRoy Garth Professor and Vice Chair for Research, Department of Anesthesiology, Dartmouth University Medical School, Hanover, NH Studies show that preoperative frailty is associated with up to six times the odds of postoperative delirium, depending on which frailty measurement tool is used.1,2 There are two distinct paradigms of frailty measurement, Frailty […]
Contributed by Fienke L. Ditzel, MD; Arjen J. C. Slooter MD, PhD; and Suzanne C.A. Hut, PhD, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands Rationale The gold standard for diagnosing delirium is the classification by a delirium expert based on the DSM-5(TR) criteria.1,2 When validating a new delirium assessment tool, ideally, a panel […]
Contributed by Nadia Lunardi, M.D., Ph.D., Associate Professor of Anesthesiology and Critical Care, University of Virginia and Michal Jedrusiak, M.D., Visiting Graduate Student, Anesthesiology Department, University of Virginia Introduction In 2020, our research group introduced a novel mouse model designed to investigate postoperative delirium.1 This model aimed to emulate the combination of surgical stress, anesthetic […]
Contributed by Oluwaseun Johnson-Akeju, MD, Anesthetist-in-Chief at Massachusetts General Hospital and Henry Isaiah Dorr Associate Professor of Research and Teaching in Anaesthetics and Anaesthesia at Harvard Medical School, and Ariel Mueller, MA, Administrative Director for Research in the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital on behalf of the Minimizing […]
Contributed by Gen Shinozaki, MD, Associate Professor of Psychiatry and Behavioral Health, Stanford University School of Medicine, Palo Alto, CA The Shinozaki Lab at Stanford University, previously at the University of Iowa, has been working to develop a novel portable EEG device to help detect delirium in hopes it will improve patient outcome(s). This bispectral […]
Contributed by Edward R. Marcantonio MD, MSc, Professor of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School and Donna M. Fick, RN, PhD, Director of the Center of Geriatric Nursing Excellence, Penn State In 2020, we wrote a NIDUS blog introducing the Ultra-Brief Confusion Assessment Method (UB-CAM) 1, an ultra-brief, adaptive tool for assessing […]
Contributed by Zachary Kunicki, PhD, Assistant Professor of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Richard Jones, PhD, Professor of Psychiatry and Human Behavior and Neurology, Warren Alpert Medical School of Brown University, Providence, RI, USA; and Sharon Inouye, MD MPH, Milton and Shirley F. Levy Family Chair […]