Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study
Joint Authors
Kim, Seong-Hyop
Oh, Chung-Sik
Rhee, Ka Young
Yoon, Tae-Gyoon
Woo, Nam-Sik
Hong, Seung Wan
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Residual neuromuscular block (NMB) after general anesthesia has been associated with pulmonary dysfunction and hypoxia, which are both associated with postoperative delirium (POD).
We evaluated the effects of sugammadex on POD in elderly patients who underwent hip fracture surgery.
Methods.
Medical records of 174 consecutive patients who underwent hip fracture surgery with general anesthesia were reviewed retrospectively to compare the perioperative incidence of POD, pulmonary complications, time to extubation, incidence of hypoxia, and laboratory findings between patients treated with sugammadex and those treated with a conventional cholinesterase inhibitor.
Results.
The incidence of POD was not significantly different between the two groups (33.3% versus 36.5%, resp.; P = 0.750 ).
Postoperative pulmonary complications and laboratory findings did not showed significant intergroup difference.
However, time to extubation (6 ± 3 versus 8 ± 3 min; P < 0.001 ) and the frequency of postoperative hypoxia were significantly lower (23% versus 43%; P = 0.010 ) in the sugammadex group than in the conventional cholinesterase inhibitor group.
Conclusion.
Sugammadex did not reduce POD or pulmonary complications compared to conventional cholinesterase inhibitors, despite reducing time to extubation and postoperative hypoxia in elderly patients who underwent hip fracture surgery under general anesthesia.
American Psychological Association (APA)
Oh, Chung-Sik& Rhee, Ka Young& Yoon, Tae-Gyoon& Woo, Nam-Sik& Hong, Seung Wan& Kim, Seong-Hyop. 2016. Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study. BioMed Research International،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096815
Modern Language Association (MLA)
Oh, Chung-Sik…[et al.]. Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study. BioMed Research International No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1096815
American Medical Association (AMA)
Oh, Chung-Sik& Rhee, Ka Young& Yoon, Tae-Gyoon& Woo, Nam-Sik& Hong, Seung Wan& Kim, Seong-Hyop. Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096815
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096815