From the Department of Anesthesiology and Intensive Care Medicine, Charité Campus Virchow-Klinikum and Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany (FR, SK, BN, BW, CDS); Department of Anesthesiology, Facultad de Medicina de Valladolid, Hospital Universitario Rio Hortega, Valladolid, Spain (CA); Department of Geriatric Surgery; Department of Anaesthesia, Analgesia and Intensive Care, Italian National Research Centres on Aging/IRCCS, Ancona (GB); Department of Anesthesiology, Critical Care and Pain Medicine, 'Sapienza' University of Rome, Rome, Italy (FB); Department of Anaesthesiology, University of Wisconsin, Madison, Wisconsin, USA (RDS); Department of Surgery, St. Helens Hospital, Merseyside; University of Liverpool, Liverpool, United Kingdom (RA); Petrovsky National Research Center of Surgery, Moscow, Russia (AB); Geriatria ed Accettazione Geriatrica d'Urgenza, IRCCS-INRCA, Ancona, Italy (AC); Whiston Hospital, Prescot, Merseyside, United Kingdom (CJ); Section of Surgical Pathophysiology and The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark (HK); Edinburgh Delirium Research Group, Geriatric Medicine Unit, University of Edinburgh, Edinburgh, United Kingdom (AM); Department of Anaesthesia, Anæstesiologisk Afdeling, Næstved, Denmark (FR); Psychiatric University Hospital, Zurich, Switzerland (FR); Department Intensive Care Medicine and Brain Centre Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands (AJCS); Service d'Anesthésiologie, Cliniques universitaires St Luc, Brussels, Belgium (FV).
Eur J Anaesthesiol. 2017 Apr;34(4):192-214. doi: 10.1097/EJA.0000000000000594.
The purpose of this guideline is to present evidence-based and consensus-based recommendations for the prevention and treatment of postoperative delirium. The cornerstones of the guideline are the preoperative identification and handling of patients at risk, adequate intraoperative care, postoperative detection of delirium and management of delirious patients. The scope of this guideline is not to cover ICU delirium. Considering that many medical disciplines are involved in the treatment of surgical patients, a team-based approach should be implemented into daily practice. This guideline is aimed to promote knowledge and education in the preoperative, intraoperative and postoperative setting not only among anaesthesiologists but also among all other healthcare professionals involved in the care of surgical patients.
本指南旨在为预防和治疗术后谵妄提供基于证据和共识的建议。指南的基石是术前识别和处理高危患者、充分的术中护理、术后谵妄检测以及对谵妄患者的管理。本指南的范围不包括 ICU 谵妄。鉴于许多医学学科都参与了外科患者的治疗，应在日常实践中实施基于团队的方法。本指南旨在促进术前、术中和术后环境中的知识和教育，不仅针对麻醉师，还针对所有其他参与外科患者护理的医疗保健专业人员。
