Open AccessPREVENTION OF POSTOPERATIVE DELIRIUM IN PATIENTS OF ELDERLY AND SENILE AGE IN ORTHOPEDIC PRACTICE
Author(s) -
Sergey Vladimirovich Sokolov,
Д В Заболотский,
V. A. Koryachkin
Publication year - 2018
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.18821/1993-6508-2018-12-1-41-46
Subject(s) - medicine , traumatology , delirium , orthopedic surgery , morphine , anesthesia , medical record , epidural administration , surgery , intensive care medicine
The aim of the study was to reduce the frequency of postoperative delirium development in elderly and elderly patients who underwent operative intervention on the hip and knee joints, acetabulum, tubular bones of the lower limb by epidural morphine administration. Materials and methods: a retrospective analysis of the medical records of 113 patients of the Department of Traumatology and Orthopedics was performed, during which two groups of patients were compared, in one of which epidural analgesia was supplemented with the administration of 3 mg of morphine epidurally, in the second, regional anesthesia combined with a systemic introduction of analgesics; the obtained data were processed using statistical analysis methods. Conclusion: the study found that in patients who underwent analgesia by epidural administration of 3mg of 1% morphine solution, the frequency of postoperative delirium development was significantly lower than in the group with systemic analgesia.