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https://doi.org/10.21256/zhaw-29051| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Prävention des postoperativen Delirs |
| Authors: | Schubert, Maria Ausserhofer, Dietmar Schaffert-Witvliet, Bianca Radtke, Finn M. Neuner, Bruno |
| et. al: | No |
| DOI: | 10.1055/a-2065-3748 10.21256/zhaw-29051 |
| Published in: | Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie |
| Volume(Issue): | 58 |
| Issue: | 9 |
| Page(s): | 482 |
| Pages to: | 493 |
| Issue Date: | Sep-2023 |
| Publisher / Ed. Institution: | Thieme |
| ISSN: | 0939-2661 1439-1074 1439-4472 |
| Language: | German |
| Subjects: | Humans; Fasting; Anesthesia; Anesthesiology; Emergence delirium; Frailty; Intensivstation; Postoperatives Delir; Kognitive Beeinträchtigung; Anästhesie |
| Subject (DDC): | 610.73: Nursing 617: Surgery |
| Abstract: | Ziel einer erfolgreichen Prävention des postoperativen Delirs ist es, bei Patient*innen die Beeinträchtigung des funktionellen Status durch eine Operation so gering wie möglich zu halten. Dies kann durch allgemeine Präventionsmaßnahmen geschehen. Als zusätzlicher Ansatz eignen sich ergänzende individualisierte Maßnahmen. Geeignete Screening- und Assessment-Instrumente werden eingesetzt, um das individuelle Risikoprofil älterer Patient*innen zu erfassen und entsprechende präventive Maßnahmen einzuleiten. Postoperative delirium (POD) is an adverse but often preventable complication of surgery and surgery-related anaesthesia, and increasingly prevalent. This article provides an overview on non-pharmacological preventive measures, divided into individualized and non-individualized measures. Non-individualized measures, such as the most minimally invasive surgical procedure, avoidance of unnecessary fasting before surgery, and the most tolerable anaesthesia are used to minimize the risk of POD in all patients. Based on the results of preoperative screenings for risk factors such as frailty or cognitive impairment, individualized measures may encompass prehabilitation, treatment of specific risk factors, operation room companionship or cognitive, motor, and sensory stimulation as well as social support. This article additionally lists several examples of best practice approaches already implemented in German-speaking countries and websites for further readings. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/29051 |
| Fulltext version: | Accepted version |
| License (according to publishing contract): | Licence according to publishing contract |
| Restricted until: | 2024-09-01 |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Nursing (IPF) |
| Appears in collections: | Publikationen Gesundheit |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 2023_Schubert-etal_Praevention-des-postoperativen-Delirs.pdf Until 2024-09-01 | Akzeptierte Version | 767.13 kB | Adobe PDF | View/Open |
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Schubert, M., Ausserhofer, D., Schaffert-Witvliet, B., Radtke, F. M., & Neuner, B. (2023). Prävention des postoperativen Delirs. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, 58(9), 482–493. https://doi.org/10.1055/a-2065-3748
Schubert, M. et al. (2023) ‘Prävention des postoperativen Delirs’, Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, 58(9), pp. 482–493. Available at: https://doi.org/10.1055/a-2065-3748.
M. Schubert, D. Ausserhofer, B. Schaffert-Witvliet, F. M. Radtke, and B. Neuner, “Prävention des postoperativen Delirs,” Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, vol. 58, no. 9, pp. 482–493, Sep. 2023, doi: 10.1055/a-2065-3748.
SCHUBERT, Maria, Dietmar AUSSERHOFER, Bianca SCHAFFERT-WITVLIET, Finn M. RADTKE und Bruno NEUNER, 2023. Prävention des postoperativen Delirs. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. September 2023. Bd. 58, Nr. 9, S. 482–493. DOI 10.1055/a-2065-3748
Schubert, Maria, Dietmar Ausserhofer, Bianca Schaffert-Witvliet, Finn M. Radtke, and Bruno Neuner. 2023. “Prävention des postoperativen Delirs.” Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie 58 (9): 482–93. https://doi.org/10.1055/a-2065-3748.
Schubert, Maria, et al. “Prävention des postoperativen Delirs.” Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, vol. 58, no. 9, Sept. 2023, pp. 482–93, https://doi.org/10.1055/a-2065-3748.
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