Preview

Вестник анестезиологии и реаниматологии

Расширенный поиск

ПОСЛЕОПЕРАЦИОННЫЙ ДЕЛИРИЙ: ЧТО НОВОГО ПРЕДЛАГАЕТ НАМ НОВОЕ РУКОВОДСТВО ESA-2017?

https://doi.org/10.21292/2078-5658-2017-14-2-41-47

Аннотация

Послеоперационный делирий – проблема, достаточно давно и активно обсуждаемая анестезиологическим сообществом. Непосредственным поводом к написанию настоящей статьи стала разработка группой экспертов под эгидой Европейской ассоциации анестезиологов (ESA) новых рекомендаций по предупреждению и лечению обсуждаемого состояния. Сравнивая данное издание с предыдущими рекомендациями Американской ассоциации анестезиологов, авторы пытаются проследить эволюцию взглядов врачей – анестезиологов и интенсивистов – на обсуждаемую проблему.

 

Об авторах

В. В. Лихванцев
ГБУЗ МО «МОНИКИ им. М. Ф. Владимирского», Москва
Россия
доктор медицинских наук, профессор, руководитель отделения реаниматологии


О. Н. Улиткина
ГБУЗ МО «МОНИКИ им. М. Ф. Владимирского», Москва
Россия
научный сотрудник отделения анестезиологии и реанимации


Н. А. Резепов
ГБУЗ МО «МОНИКИ им. М. Ф. Владимирского», Москва
Россия
научный сотрудник отделения анестезиологии и реанимации


Список литературы

1. Гороховатский Ю. И., Замятин М. Н., Седракян А. Р. и др. Профилактика делирия в кардиохирургии // Вестн. Национального медико-хирургического Центра им. Н. И. Пирогова. – 2016. – Т. 11, № 2. – С. 9–14.

2. Лихванцев В. В. Неспецифический делирий в отделении интенсивной терапии и реанимации // Анестезиол. и реаниматол. – 2015. – Т. 2. – С. 55–59.

3. Abelha F. J., Fernandes V., Botelho M. et al. Apolipoprotein E e4 allele does not increase the risk of early postoperative delirium after major surgery // J. Anesth.– 2012. [Epab ahead of print].

4. Aldecoa C., Bettelli G., Bilotta F. et al. European Society of Anaesthesiology evidence-based and consensus-based guidelines on postoperative delirium // Eur. J. Anaesthesiol. – 2017. – Vol. 34. – P. 1–23.

5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (Dsm–51), 5th ed. // Amer. Psychiatric Pub. Inc. – 2013. – 1022 p.

6. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management // Anesthesiology. – 2012. – Vol. 116. – P. 248–273.

7. Ansaloni L., Catena F., Chattat R. et al. Risk factors and incidence of postoperative delirium in elderly patients after elective and emergency surgery // Br. J. Surg. – 2010. – Vol. 97. – P. 273–280.

8. Arai Y. C., Fukunaga K., Hirota S. Comparison of a combination of midazolam and diazepam and midazolam alone as oral premedication on preanesthetic and emergence condition in children // Acta Anaesthesiol. Scand. – 2005. – Vol. 49. – P. 698–701.

9. Barr J., Fraser G. L., Puntillo K. et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit // Crit. Care Med. – 2013. – Vol. 41. – P. 263–306.

10. Bellelli G., Mazzola P., Morandi A. et al. Duration of postoperative delirium is an independent predictor of 6-month mortality in older adults after hip fracture // J. Am. Geriatr. Soc. – 2014. – Vol. 62. – P. 1335–1340.

11. Bettelli G. Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history // Minerva Anestesiol. – 2011. – Vol. 77. – P. 637–646.

12. Bickel H., Gradinger R., Kochs E. et al. High risk of cognitive and functional decline after postoperative delirium. A three-year prospective study // Dement. Geriatr. Cogn. Disord. – 2008. – Vol.26. – P. 26–31.

13. Bourne R. S., Mills G. H. Melatonin: possible implications for the postoperative and critically ill patient // Intens. Care Med. – 2006. – Vol. 32. – P. 371–379.

14. Cavaliere F., D’Ambrosio F., Volpe C. et al. Postoperative delirium // Curr. Drug. Targets. – 2005. – Vol. 6. – P. 807–814.

15. Chen J., Li W., Hu X., et al. Emergence agitation after cataract surgery in children: a comparison of midazolam, propofol and ketamine // Paediatr. Anaesth. – 2010. – Vol. 20. – P. 873–879.

16. Chou R., Gordon D. B., de Leon-Casasola O. A. et al. Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council // J. Pain. – 2016. – Vol. 17, № 2. – P. 131–157.

17. Costi D., Cyna A. M., Ahmed S. et al. Effects of sevoflurane versus other general anaesthesia on emergence agitation in children // Cochrane Database Syst. Rev. – 2014. – CD007084.

18. Depth of anaesthesia monitors – Bispectral Index (BIS), E-Entropy and Narcotrend-Compact M. The National Institute for Health and Care Excellence (NICE) Guideline. https: // www.nice.org.uk/guidance/dg6.

19. Do T.-D., Lemogne C., Journois D. et al. Low social support is associated with an increased risk of postoperative delirium // J. Clin. Anesth. – 2012. – Vol. 24. – P. 126–132.

20. Ely E. W., Margolin R., Francis J. et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM–ICU) // Crit. Care Med. – 2001. – Vol. 29. – P. 1370–1379.

21. Fineberg S. J., Nandyala S. V., Marquez-Lara A. et al. Incidence and risk factors for postoperative delirium after lumbar spine surgery // Spine (PhilaPa 1976). – 2013. – Vol. 38. – P. 1790–1796.

22. Gaudreau J. D., Gagnon P., Harel F. et al. Fast, systematic, and continuous delirium assessment in hospitalized patients: The Nursing Delirium Screening Scale // J. Pain Symptom Manage. – 2005. – Vol. 29. – P. 368–375.

23. Gottesman R. F., Grega M. A., Bailey M. M. et al. Delirium after coronary artery bypass graft surgery and late mortality // Ann. Neurol. – 2010. – Vol. 67. – P. 338–344.

24. Hempenius L., Slaets J. P. J., Van Asselt D. Z. B. et al. Interventions to prevent postoperative delirium in elderly cancer patients should be targeted at those undergoing nonsuperficial surgery with special attention to the cognitive impaired patients // Eur. J. Surg. Oncol. – 2015. – Vol. 41. – P. 28–33.

25. International Statistical Classification of Diseases and Related Health Problems 10th Revision. http: // apps.who.int/classifications/icd10/ browse/2016/en, 2015.

26. Ji F., Li Z., Young N. et al. Perioperative dexmedetomidine improves mortality in patients undergoing coronary artery bypass surgery // J. Cardiothorac. Vasc. Anesth. – 2014. – Vol. 28. – P. 267–273.

27. Kain Z. N., Caldwell-Andrews A. A., Mayes L. C. et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial // Anesthesiology. – 2007. – Vol. 106. – P. 65–74.

28. Kim S. D., Park S. J., Lee D. H. et al. Risk factors of morbidity and mortality following hip fracture surgery // Korean J. Anesthesiol. – 2013. – Vol. 64. – P. 505–510.

29. Krenk L., Rasmussen L. S., Hansen T. B. et al. Delirium after fast-track hip and knee arthroplasty // Br. J. Anaesth. – 2012. – Vol. 108. – P. 607–611.

30. Kulka P. J., Bressem M., Tryba M. Clonidine prevents sevoflurane-induced agitation in children // Anesth. Analg. – 2001. – Vol. 93. – P. 335–338.

31. Lassen K., Soop M., Nygren J. et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations // Arch. Surg. – 2009. – Vol. 144. – P. 961–969.

32. Leung J. M., Sands L. P., Lim E. et al. Does preoperative risk for delirium moderate the effects of postoperative pain and opiate use on postoperative delirium? // Am. J. Geriatr. Psychiatry. – 2013. – Vol. 21. – P. 946–956.

33. Park J. B., Bang S. H., Chee H. K. et al. Efficacy and safety of dexmedetomidine for postoperative delirium in adult cardiac surgery on cardiopulmonary bypass // Korean J. Thorac. Cardiovasc. Surg. – 2014. – Vol. 47. – P. 249–254.

34. Pedersen S. J., Borgbjerg F. M., Schousboe B. et al. A comprehensive hip fracture program reduces complication rates and mortality // J. Am. Geriatr. Soc. – 2008. – Vol. 56. – P. 1831–1838.

35. Pickard A., Davies P., Birnie K. et al. Systematic review and meta-analysis of the effect of intraoperative a2-adrenergic agonists on postoperative behaviour in children // Br. J. Anaesth. – 2014. – Vol. 112. – P. 982–990.

36. Rubino A. S., Onorati F., Caroleo S. et al. Impact of clonidine administration on delirium and related respiratory weaning after surgical correction of acute type-A aortic dissection: results of a pilot study // Interact. Cardiovasc. Thorac. Surg. – 2010. – Vol. 10. – P. 58–62.

37. Sepulveda P., Cortinez L. I., Saez C. et al. Performance evaluation of paediatric propofol pharmacokinetic models in healthy young children // Br. J. Anaesth. – 2011. – Vol. 107. – P. 593–600.

38. Sikich N., Lerman J. Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale // Anesthesiology. – 2004. – Vol. 100. – P. 1138–1145.

39. Spies C. D., Dubisz N., Funk W. et al. Prophylaxis of alcohol withdrawal syndrome in alcohol-dependent patients admitted to the intensive care unit after tumour resection // Br. J. Anaesth. – 1995. – Vol. 75. – P. 734–739.

40. Spies C. D., Dubisz N., Neumann T. et al. Therapy of alcohol withdrawal syndrome in intensive care unit patients following trauma: results of a prospective, randomized trial // Crit. Care Med. – 1996. – Vol. 24. – P. 414–422.

41. Spies C. D., Otter H. E., Huske B. et al. Alcohol withdrawal severity is decreased by symptom-orientated adjusted bolus therapy in the ICU // Intens. Care Med. – 2003. – Vol. 29. – P. 2230–2238.

42. Zhang H., Lu Y., Liu M. et al. Strategies for prevention of postoperative delirium: a systematic review and meta-analysis of randomized trials // Crit. Care. – 2013. – Vol. 17. – Р. R47.


Рецензия

Для цитирования:


Лихванцев В.В., Улиткина О.Н., Резепов Н.А. ПОСЛЕОПЕРАЦИОННЫЙ ДЕЛИРИЙ: ЧТО НОВОГО ПРЕДЛАГАЕТ НАМ НОВОЕ РУКОВОДСТВО ESA-2017? Вестник анестезиологии и реаниматологии. 2017;14(2):41-47. https://doi.org/10.21292/2078-5658-2017-14-2-41-47

For citation:


Likhvantsev V.V., Ulitkina O.N., Rezepov N.A. POSTOPERATIVE DELIRIUM: WHAT NEW DOES NOVEL GUIDELINES BY ESA-2017 OFFER? Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(2):41-47. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-2-41-47



Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 2078-5658 (Print)
ISSN 2541-8653 (Online)