Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients

Aldecoa, César; Bettelli, Gabriella; Bilotta, Federico; Sanders, Robert D.; Aceto, Paola; Audisio, Riccardo; Cherubini, Antonio; Cunningham, Colm; Dabrowski, Wojciech; Forookhi, Ali; Gitti, Nicola; Immonen, Kaisa; Kehlet, Henrik; Koch, Susanne; Kotfis, Katarzyna; Latronico, Nicola; MacLullich, Alasdair M.J.; Mevorach, Lior; Mueller, Anika; Neuner, Bruno; Piva, Simone; Radtke, Finn; Blaser, Annika Reintam; Renzi, Stefania; Romagnoli, Stefano; Schubert, Maria; Slooter, Arjen J.C.; Tommasino, Concezione; Vasiljewa, Lisa; Weiss, Bjoern; Yuerek, Fatima; Spies, Claudia D.

doi:10.1097/EJA.0000000000001876

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29067

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients
Authors:	Aldecoa, César Bettelli, Gabriella Bilotta, Federico Sanders, Robert D. Aceto, Paola Audisio, Riccardo Cherubini, Antonio Cunningham, Colm Dabrowski, Wojciech Forookhi, Ali Gitti, Nicola Immonen, Kaisa Kehlet, Henrik Koch, Susanne Kotfis, Katarzyna Latronico, Nicola MacLullich, Alasdair M.J. Mevorach, Lior Mueller, Anika Neuner, Bruno Piva, Simone Radtke, Finn Blaser, Annika Reintam Renzi, Stefania Romagnoli, Stefano Schubert, Maria Slooter, Arjen J.C. Tommasino, Concezione Vasiljewa, Lisa Weiss, Bjoern Yuerek, Fatima Spies, Claudia D.
et. al:	No
DOI:	10.1097/EJA.0000000000001876 10.21256/zhaw-29067
Published in:	European Journal of Anaesthesiology
Volume(Issue):	41
Issue:	2
Page(s):	81
Pages to:	108
Issue Date:	31-Aug-2023
Publisher / Ed. Institution:	Wolters Kluwer
ISSN:	0265-0215 1365-2346 0952-1941
Language:	English
Subjects:	Postoperative delirium (POD); Guideline; Anästhesie; Postoperatives Delirium
Subject (DDC):	610.73: Nursing 618: Gynecology, obstetrics and midwifery
Abstract:	Postoperative delirium (POD) remains a common, dangerous and resource-consuming adverse event but is often preventable. The whole peri-operative team can play a key role in its management. This update to the 2017 ESAIC Guideline on the prevention of POD is evidence-based and consensus-based and considers the literature between 01 April 2015, and 28 February 2022. The search terms of the broad literature search were identical to those used in the first version of the guideline published in 2017. POD was defined in accordance with the DSM-5 criteria. POD had to be measured with a validated POD screening tool, at least once per day for at least 3 days starting in the recovery room or postanaesthesia care unit on the day of surgery or, at latest, on postoperative day 1. Recent literature confirmed the pathogenic role of surgery-induced inflammation, and this concept reinforces the positive role of multicomponent strategies aimed to reduce the surgical stress response. Although some putative precipitating risk factors are not modifiable (length of surgery, surgical site), others (such as depth of anaesthesia, appropriate analgesia and haemodynamic stability) are under the control of the anaesthesiologists. Multicomponent preoperative, intra-operative and postoperative preventive measures showed potential to reduce the incidence and duration of POD, confirming the pivotal role of a comprehensive and team-based approach to improve patients' clinical and functional status.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29067
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Nursing (IPF)
Appears in collections:	Publikationen Gesundheit

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Aldecoa, C., Bettelli, G., Bilotta, F., Sanders, R. D., Aceto, P., Audisio, R., Cherubini, A., Cunningham, C., Dabrowski, W., Forookhi, A., Gitti, N., Immonen, K., Kehlet, H., Koch, S., Kotfis, K., Latronico, N., MacLullich, A. M. J., Mevorach, L., Mueller, A., et al. (2023). Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients. European Journal of Anaesthesiology, 41(2), 81–108. https://doi.org/10.1097/EJA.0000000000001876

Aldecoa, C. et al. (2023) ‘Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients’, European Journal of Anaesthesiology, 41(2), pp. 81–108. Available at: https://doi.org/10.1097/EJA.0000000000001876.

C. Aldecoa et al., “Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients,” European Journal of Anaesthesiology, vol. 41, no. 2, pp. 81–108, Aug. 2023, doi: 10.1097/EJA.0000000000001876.

ALDECOA, César, Gabriella BETTELLI, Federico BILOTTA, Robert D. SANDERS, Paola ACETO, Riccardo AUDISIO, Antonio CHERUBINI, Colm CUNNINGHAM, Wojciech DABROWSKI, Ali FOROOKHI, Nicola GITTI, Kaisa IMMONEN, Henrik KEHLET, Susanne KOCH, Katarzyna KOTFIS, Nicola LATRONICO, Alasdair M.J. MACLULLICH, Lior MEVORACH, Anika MUELLER, Bruno NEUNER, Simone PIVA, Finn RADTKE, Annika Reintam BLASER, Stefania RENZI, Stefano ROMAGNOLI, Maria SCHUBERT, Arjen J.C. SLOOTER, Concezione TOMMASINO, Lisa VASILJEWA, Bjoern WEISS, Fatima YUEREK und Claudia D. SPIES, 2023. Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients. European Journal of Anaesthesiology. 31 August 2023. Bd. 41, Nr. 2, S. 81–108. DOI 10.1097/EJA.0000000000001876

Aldecoa, César, Gabriella Bettelli, Federico Bilotta, Robert D. Sanders, Paola Aceto, Riccardo Audisio, Antonio Cherubini, et al. 2023. “Update of the European Society of Anaesthesiology and Intensive Care Medicine Evidence-Based and Consensus-Based Guideline on Postoperative Delirium in Adult Patients.” European Journal of Anaesthesiology 41 (2): 81–108. https://doi.org/10.1097/EJA.0000000000001876.

Aldecoa, César, et al. “Update of the European Society of Anaesthesiology and Intensive Care Medicine Evidence-Based and Consensus-Based Guideline on Postoperative Delirium in Adult Patients.” European Journal of Anaesthesiology, vol. 41, no. 2, Aug. 2023, pp. 81–108, https://doi.org/10.1097/EJA.0000000000001876.