RESUMEN
The efficiency of different drugs for sedation was studied in 51 patients after large abdominal operations complicated by postoperative delirium. Diagnosis of postoperative delirium was established according to CAM-ICU criteria. Dexmedetomidine has demonstrated significantly decreased duration of delirium and hospital stay in intensive care unit in comparison with haloperidol. Besides, patients which received dexmedetomidine preserved opportunity for verbal contact. Also these patients interacted better with department's stuff.
Asunto(s)
Cavidad Abdominal/cirugía , Delirio , Dexmedetomidina , Complicaciones Posoperatorias , Procedimientos Quirúrgicos Operativos/efectos adversos , Adulto , Anciano , Delirio/diagnóstico , Delirio/tratamiento farmacológico , Delirio/etiología , Dexmedetomidina/administración & dosificación , Dexmedetomidina/efectos adversos , Femenino , Humanos , Hipnóticos y Sedantes/administración & dosificación , Hipnóticos y Sedantes/efectos adversos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/tratamiento farmacológico , Resultado del TratamientoRESUMEN
AIM: To discuss the main aspects of multimodal method of accelerated postoperative rehabilitation (fast track surgery). MATERIAL AND METHODS: The program of accelerated rehabilitation consists of minimization of surgical treatment's stressful influence on patient's organism in perioperative period. The method implies use of efficient preoperative management, minimally invasive operations, regional anesthesia and short-acting anesthetics, early postoperative rehabilitation. RESULTS: The program improves the results of surgical treatment, reduces number of complications and cost of treatment, improves the "quality" of hospital stay.
Asunto(s)
Cuidados Posoperatorios/métodos , Complicaciones Posoperatorias/rehabilitación , Humanos , Factores de TiempoRESUMEN
AIM: To discuss the main aspects of multimodal method of accelerated postoperative rehabilitation (fast track surgery). MATERIAL AND METHODS: The program of accelerated rehabilitation consists of minimization of surgical treatment's stressful influence on patient's organism in all stages of perioperative period. The method implies use of efficient preoperative management, minimally invasive operations, regional anesthesia and short-acting anesthetics, early postoperative rehabilitation. RESULTS: The program improves the results of surgical treatment, reduces number of complications and cost of treatment, improves the "quality" of hospital stay and satisfaction of meeting with doctors.