Articles related to DELIRIUM

This retrospective cohort study provides evidence that the risk profiles for in-hospital adverse events are similar among haloperidol and atypical antipsychotics in older patients with postoperative delirium.

This 1-Minute Consult reviews the bedside workup of delirium and possible stroke and reviews the cases for – and against – imaging.

According to the findings of the study, gabapentin should not be used on a regular basis. Individualization is required, based on the type of pain and the risk of delirium. If gabapentin is used to control postoperative pain, it must be closely monitored for the development of delirium. Low-dose opioids, along with nonpharmacologic pain management strategies such as postoperative physical therapy and mobilization, can still be used safely in the study population. Rather than relying on a single medication, a more holistic approach to postoperative pain control in the hospital setting is required.

A 63-year-old man is seen in the ER for new onset confusion. He has been taking codeine-guaifenesin as directed for a URI. Respirations are shallow and the rate is 10/min. Pupils are miotic and the patient is somnolent. Exam and vitals are otherwise normal. The confusion resolves with administration of naloxone. Why did this patient most likely have the drug reaction?

In this randomized study of 1,000 patients with delirium admitted to the ICU, patients receiving haloperidol showed no significant difference in survival compared with patients who received placebo.