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Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report
RATIONAL: Postoperative delirium is a common occurrence in older patients. However, reports of postoperative delirium in middle-aged patients are limited, and the underlying mechanism of delirium in this patient population is not clear. PATIENT CONCERNS: A 45-year-old man who developed postoperative...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841985/ https://www.ncbi.nlm.nih.gov/pubmed/29465603 http://dx.doi.org/10.1097/MD.0000000000009988 |
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author | Yu, Huiqian Shen, Xia |
author_facet | Yu, Huiqian Shen, Xia |
author_sort | Yu, Huiqian |
collection | PubMed |
description | RATIONAL: Postoperative delirium is a common occurrence in older patients. However, reports of postoperative delirium in middle-aged patients are limited, and the underlying mechanism of delirium in this patient population is not clear. PATIENT CONCERNS: A 45-year-old man who developed postoperative delirium on the second day after partial laryngectomy. Interviews of the surgical team, patient, and patient's spouse revealed that the patient was psychologically stressed, but had not been diagnosed or treated. The patient also suffered impairment in physiological functioning and sleep disturbance after surgery. DIAGNOSIS: Postoperative delirium. INTERVENTIONS: The postoperative delirium was treated with an antipsychotic drug. OUTCOMES: The patient recovered well. LESSONS: Preoperative psychological stress, which is often undiagnosed and untreated, can increase the risk of postoperative delirium in middle-aged patients undergoing laryngectomy. Therefore, screening for psychological stress and implementing strategies to prevent delirium should be considered for patients who undergo laryngectomy, even if they are not in high-risk older age groups. |
format | Online Article Text |
id | pubmed-5841985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-58419852018-03-13 Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report Yu, Huiqian Shen, Xia Medicine (Baltimore) 6500 RATIONAL: Postoperative delirium is a common occurrence in older patients. However, reports of postoperative delirium in middle-aged patients are limited, and the underlying mechanism of delirium in this patient population is not clear. PATIENT CONCERNS: A 45-year-old man who developed postoperative delirium on the second day after partial laryngectomy. Interviews of the surgical team, patient, and patient's spouse revealed that the patient was psychologically stressed, but had not been diagnosed or treated. The patient also suffered impairment in physiological functioning and sleep disturbance after surgery. DIAGNOSIS: Postoperative delirium. INTERVENTIONS: The postoperative delirium was treated with an antipsychotic drug. OUTCOMES: The patient recovered well. LESSONS: Preoperative psychological stress, which is often undiagnosed and untreated, can increase the risk of postoperative delirium in middle-aged patients undergoing laryngectomy. Therefore, screening for psychological stress and implementing strategies to prevent delirium should be considered for patients who undergo laryngectomy, even if they are not in high-risk older age groups. Wolters Kluwer Health 2018-02-23 /pmc/articles/PMC5841985/ /pubmed/29465603 http://dx.doi.org/10.1097/MD.0000000000009988 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 6500 Yu, Huiqian Shen, Xia Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title | Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title_full | Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title_fullStr | Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title_full_unstemmed | Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title_short | Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report |
title_sort | postoperative delirium after partial laryngectomy in a middle-aged patient: a case report |
topic | 6500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841985/ https://www.ncbi.nlm.nih.gov/pubmed/29465603 http://dx.doi.org/10.1097/MD.0000000000009988 |
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