Morphine is a reasonable alternative to haloperidol in the treatment of postoperative hyperactive-type delirium after cardiac surgery

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 27, Issue 5, 2013, Pages 933-938

  Atalan, Nazan ^a   Efe Sevim, Meltem ^b   Akgün, Serdar ^a   Fazlioǧullari, Osman ^a   Başaran, Cem ^a  

^a Medicana Hospitals Bahcelievler   (Turkey)

^b Bakirkoy Mental Hospital   (Turkey)

Author keywords

cardiac surgery; Delirium; haloperidol; intensive care unit (ICU); morphine; treatment

Indexed keywords

DEXKETOPROFEN; FENTANYL; HALOPERIDOL; ISOFLURANE; LORAZEPAM; MIDAZOLAM; MORPHINE SULFATE; PARACETAMOL; SEDATIVE AGENT; VECURONIUM;

ADULT; AGED; AORTA SURGERY; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DOUBLE BLIND PROCEDURE; DRUG EFFECT; FEMALE; GENERAL ANESTHESIA; HEART SURGERY; HEART VALVE SURGERY; HUMAN; INTENSIVE CARE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NEUROMUSCULAR BLOCKING; OUTCOME ASSESSMENT; POSTOPERATIVE ANALGESIA; POSTOPERATIVE DELIRIUM; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; RICHMOND AGITATION AND SEDATION SCALE; SCORING SYSTEM; SURGICAL TECHNIQUE; TREATMENT RESPONSE;

CARDIAC SURGERY; DELIRIUM; HALOPERIDOL; INTENSIVE CARE UNIT (ICU); MORPHINE; TREATMENT;

AGED; ANTIPSYCHOTIC AGENTS; CARDIAC SURGICAL PROCEDURES; DELIRIUM; FEMALE; HALOPERIDOL; HUMANS; MALE; MIDDLE AGED; MORPHINE; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; PSYCHOMOTOR AGITATION;

EID: 84884535114     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2013.01.017     Document Type: Article

References (27)

1. T.D. Girard, P.P. Pandharipande, and E.W. Ely Delirium in the intensive care unit Crit Care 12 2008 S3
2. R.C. van der Mast, W.W. van den Broek, and D. Fekkes Incidence of and preoperative predictors for delirium after cardiac surgery J Psychosom Res 46 1999 479 483
3. S. Koster, F.G. Oosterveld, and A.G. Hensens Delirium after cardiac surgery and predictive validity of a risk checklist Ann Thorac Surg 86 2008 1883 1887
4. T.N. Robinson, C.D. Raeburn, and Z.V. Tran Postoperative delirium in the elderly: Risk factors and outcomes Ann Surg 249 2009 173 178
5. American Psychiatric Association Practice guideline for the treatment of patients with delirium Am J Psychiatry 156 1999 1 20
6. J. Jacobi, G.L. Fraser, and D.B. Coursin Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult Crit Care Med 30 2002 119 141
7. L.A. Wei, M.A. Fearing, and E.J. Sternberg The confusion assessment method: A systematic review of current usage J Am Geriatr Soc 56 2008 823 830
8. E.V. Ely, S.K. Inouye, and G.R. Bernard Delirium in mechanically ventilated patients: Validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU) J Am Med Assoc 286 2001 2703 2713
9. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders 2000 American Psychiatric Association Washington, DC [text revision]
10. C.N. Sessler, M.S. Gosnell, and M.J. Grap The Richmond agitation-sedation scale: Validity and reliability in adult intensive care unit patients Am J Respir Crit Care Med 166 2002 1338 1344
11. B.A. Khan, O. Guzman, and N.L. Campbell Comparison and agreement between two sedation scales; Richmond agitation sedation scale and sedation agitation scale in evaluating patients eligibility for delirium assessment in the intensive care unit Chest 142 2012 48 54
12. G.S. Duppils, and K. Wikblad Acute confusional states in patients undergoing hip surgery. A prospective observation study Gerontology 46 2000 36 43
13. S.E. de Rooij, M.J. Schuurmans, and R.C. van der Mast Clinical subtypes of delirium and their relevance for daily clinical practice: A systematic review Int J Geriatr Psychiatry 20 2005 609 615
14. D. Stagno, C. Gibson, and W. Breitbart The delirium subtypes: A review of prevalence, phenomenology, pathophysiology, and treatment response Palliat Support Care 2 2004 171 179
15. D.R. Flinn, K.M. Diehl, and L.S. Seyfried Prevention, diagnosis, and management of postoperative delirium in older adults J Am Coll Surg 209 2009 261 268
16. S.S. Parikh, and F. Chung Postoperative delirium in the elderly Anesth Analg 80 1995 1223 1232
17. A.S. Bagri, A. Rico, and J.G. Ruiz Evaluation and management of the elderly patient at risk for postoperative delirium Thorac Surg Clin 19 2009 363 376
18. E.B. Milbrandt, A. Kersten, and L. Kong Haloperidol use is associated with lower hospital mortality in mechanically ventilated patients Crit Care Med 33 2005 226 229
19. K.S. Lewis, J.K. Whipple, and K.A. Michael Effect of analgesic treatment on the physiological consequences of acute pain Am J Hosp Pharm 51 1994 1539 1554
20. R.L. Levine Pharmacology of intravenous sedatives and opioids in critical ill patients Crit Care Clin 10 1994 709 731
21. Y. Shehabi, P. Grant, and H. Wolfenden Prevalence of delirium with dexmedetomidine compared with morphine based therapy after cardiac surgery: A randomized controlled trial (DEXmedetomidine COmpared to Morphine - DEXCOM Study) 111 2009 1075 1084 Anesthesiology 111 2009 1075 1084
22. E.P. Lynch, M.A. Lazor, and J.E. Gellis The impact of postoperative pain on the development of postoperative delirium Anesth Analg 86 1998 781 785
23. H.K. Fong, L.P. Sands, and J.M. Leung The role of postoperative analgesia in delirium and cognitive decline in elderly patients: A systematic review Anesth Analg 102 2006 1255 1266
24. P. Pandharipande, B.A. Cotton, and A. Shintani Prevalence and risk factors for development of delirium in surgical and trauma ICU patients J Trauma 65 2008 34 41
25. R.S. Morrison, J. Magaziner, and M. Gilbert Relationship between pain and opioid analgesics on the development of delirium following hip fracture J Gerontol A Biol Sci Med Sci 58 2003 76 81
26. L.E. Vaurio, L.P. Sands, and Y. Wang Postoperative delirium: The importance of pain and pain management Anesth Analg 102 2006 1267 1273
27. E.M. Glover, and M. Davis Anxiolytic like effects of morphine and buprenorphine in the rat model of fear-potentiated startle: Tolerance, cross-tolerance, and blockade Psychopharmacology 198 2008 167 180