Postoperative Delirium Following Orthognathic Surgery in a Young Patient
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.joms.2016.08.024 http://hdl.handle.net/11449/159509 |
Resumo: | Delirium is an organic mental syndrome with acute onset characterized by diffuse brain dysfunction and neural activity disorganization. It is usually related to cognition and perception changes, decreased level of consciousness, and disorganization of thoughts that are unrelated to previous dementia. Occurrence is more frequent in patients with previous degenerative disease and elderly patients, especially those older than 85 years. Although the pathophysiology is not totally known, studies have shown that, among the main factors that lead to delirium, the drugs used for general anesthesia induction are the most relevant (hypnotics, anticholinergic drugs, and H-2 receptor blockers), especially those used in long surgical procedures. This report describes the case of a 24-year-old woman with a noncontributory medical and psychological history. She underwent bimaxillary orthognathic surgery with a total general anesthesia time of 7 hours. Postoperatively, she developed agitation, confusion, and delirium. After a psychiatry consult and discussion with the anesthesia team, the diagnosis of psychotic break owing to late postoperative delirium was established. (C) 2016 Published by Elsevier Inc on behalf of the American Association of Oral and Maxillofacial Surgeons |
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Postoperative Delirium Following Orthognathic Surgery in a Young PatientDelirium is an organic mental syndrome with acute onset characterized by diffuse brain dysfunction and neural activity disorganization. It is usually related to cognition and perception changes, decreased level of consciousness, and disorganization of thoughts that are unrelated to previous dementia. Occurrence is more frequent in patients with previous degenerative disease and elderly patients, especially those older than 85 years. Although the pathophysiology is not totally known, studies have shown that, among the main factors that lead to delirium, the drugs used for general anesthesia induction are the most relevant (hypnotics, anticholinergic drugs, and H-2 receptor blockers), especially those used in long surgical procedures. This report describes the case of a 24-year-old woman with a noncontributory medical and psychological history. She underwent bimaxillary orthognathic surgery with a total general anesthesia time of 7 hours. Postoperatively, she developed agitation, confusion, and delirium. After a psychiatry consult and discussion with the anesthesia team, the diagnosis of psychotic break owing to late postoperative delirium was established. (C) 2016 Published by Elsevier Inc on behalf of the American Association of Oral and Maxillofacial SurgeonsState Univ Sao Paulo, Dept Oral & Maxillofacial, Sao Paulo, SP, BrazilState Univ Sao Paulo, Dept Oral Pathol, Sao Paulo, SP, BrazilHosp Evangelico Londrina, Londrina, PR, BrazilUniv Estadual Londrina, Dept Oral Med & Pediat Dent, Londrina, PR, BrazilUniv Estadual Londrina, Oral & Maxillofacial Surg, Londrina, PR, BrazilState Univ Sao Paulo, Dept Oral & Maxillofacial, Sao Paulo, SP, BrazilState Univ Sao Paulo, Dept Oral Pathol, Sao Paulo, SP, BrazilElsevier B.V.Universidade Estadual Paulista (Unesp)Hosp Evangelico LondrinaUniversidade Estadual de Londrina (UEL)Costa, Fernanda Herrera da [UNESP]Herrera, Paulo AdilsonPereira-Stabile, Cecilia LuizVitti Stabile, Glaykon Alex2018-11-26T15:44:06Z2018-11-26T15:44:06Z2017-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://dx.doi.org/10.1016/j.joms.2016.08.024Journal Of Oral And Maxillofacial Surgery. Philadelphia: W B Saunders Co-elsevier Inc, v. 75, n. 2, 4 p., 2017.0278-2391http://hdl.handle.net/11449/15950910.1016/j.joms.2016.08.024WOS:000399221600017WOS000399221600017.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal Of Oral And Maxillofacial Surgery0,967info:eu-repo/semantics/openAccess2024-01-19T06:31:36Zoai:repositorio.unesp.br:11449/159509Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T23:24:50.079035Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
title |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
spellingShingle |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient Costa, Fernanda Herrera da [UNESP] |
title_short |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
title_full |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
title_fullStr |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
title_full_unstemmed |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
title_sort |
Postoperative Delirium Following Orthognathic Surgery in a Young Patient |
author |
Costa, Fernanda Herrera da [UNESP] |
author_facet |
Costa, Fernanda Herrera da [UNESP] Herrera, Paulo Adilson Pereira-Stabile, Cecilia Luiz Vitti Stabile, Glaykon Alex |
author_role |
author |
author2 |
Herrera, Paulo Adilson Pereira-Stabile, Cecilia Luiz Vitti Stabile, Glaykon Alex |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Hosp Evangelico Londrina Universidade Estadual de Londrina (UEL) |
dc.contributor.author.fl_str_mv |
Costa, Fernanda Herrera da [UNESP] Herrera, Paulo Adilson Pereira-Stabile, Cecilia Luiz Vitti Stabile, Glaykon Alex |
description |
Delirium is an organic mental syndrome with acute onset characterized by diffuse brain dysfunction and neural activity disorganization. It is usually related to cognition and perception changes, decreased level of consciousness, and disorganization of thoughts that are unrelated to previous dementia. Occurrence is more frequent in patients with previous degenerative disease and elderly patients, especially those older than 85 years. Although the pathophysiology is not totally known, studies have shown that, among the main factors that lead to delirium, the drugs used for general anesthesia induction are the most relevant (hypnotics, anticholinergic drugs, and H-2 receptor blockers), especially those used in long surgical procedures. This report describes the case of a 24-year-old woman with a noncontributory medical and psychological history. She underwent bimaxillary orthognathic surgery with a total general anesthesia time of 7 hours. Postoperatively, she developed agitation, confusion, and delirium. After a psychiatry consult and discussion with the anesthesia team, the diagnosis of psychotic break owing to late postoperative delirium was established. (C) 2016 Published by Elsevier Inc on behalf of the American Association of Oral and Maxillofacial Surgeons |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-02-01 2018-11-26T15:44:06Z 2018-11-26T15:44:06Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.joms.2016.08.024 Journal Of Oral And Maxillofacial Surgery. Philadelphia: W B Saunders Co-elsevier Inc, v. 75, n. 2, 4 p., 2017. 0278-2391 http://hdl.handle.net/11449/159509 10.1016/j.joms.2016.08.024 WOS:000399221600017 WOS000399221600017.pdf |
url |
http://dx.doi.org/10.1016/j.joms.2016.08.024 http://hdl.handle.net/11449/159509 |
identifier_str_mv |
Journal Of Oral And Maxillofacial Surgery. Philadelphia: W B Saunders Co-elsevier Inc, v. 75, n. 2, 4 p., 2017. 0278-2391 10.1016/j.joms.2016.08.024 WOS:000399221600017 WOS000399221600017.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal Of Oral And Maxillofacial Surgery 0,967 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808129518467022848 |