Elizabeth Mahanna-Gabrielli, MD

Frailty, Postoperative Delirium and Cognitive Dysfunction: Where is the Association?

Contributed by Elizabeth Mahanna-Gabrielli, MD Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida As a neuroanesthesiologist and intensivist, I’ve seen many frail patients come into the operating room and intensive care unit. During the early years of my career, frailty was informally defined as patient who was elderly, weak, and deconditioned; clinicians […]

Brian O'Gara, MD, MPH

Cognitive Prehabilitation to Prevent Postoperative Delirium

Contributed by Brian O’Gara MD MPH Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA Postoperative delirium occurs in 15-50% of older surgical patients, and increases the risk of postoperative complications, hospital mortality and long-term cognitive dysfunction.1 Hospital -based multicomponent interventions can prevent postoperative delirium, but these approaches are only 30-40% effective.2 Therefore, there is […]

Dr. Michael Reznik

Studying Delirium in the Neurocritical Care Unit: Improving Detection and Outcomes in Patients with Stroke

Michael Reznik, MD Assistant Professor of Neurology & Neurosurgery. Brown University, Alpert Medical School I’ve been interested in brain science, consciousness, and cognition for as long as I can remember, and it was through the lens of these interests that I opted to pursue a career in neurology. I found myself especially interested in patients […]

Graph for Discordance between ICDSC and CAM-ICU-7 blog post

Discordance between ICDSC and CAM-ICU-7 as measures of delirium severity in the ICU

Karla D. Krewulak PhD and Kirsten M. Fiest PhD Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada Determination of delirium presence or absence may no longer be sufficient when tools exist to measure a delirium score which many be used to estimate delirium severity. Measurement of delirium severity has been identified as […]