Postoperative delirium after partial laryngectomy in a middle-aged patient: A case report

Medicine
Huiqian Yu, Xia Shen

Abstract

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. 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. Postoperative delirium. The postoperative delirium was treated with an antipsychotic drug. The patient recovered well. 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.

References

Mar 4, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M F De BoerB W van den Borne
May 3, 2001·International Journal of Geriatric Psychiatry·P GalanakisH Förstl
Dec 12, 2002·International Psychogeriatrics·Asher MilsteinYoram Barak
Jul 2, 2003·Annals of Surgery·Hinrich BöhnerFrank Schneider
Dec 25, 2004·International Journal of Oral and Maxillofacial Surgery·K YamagataH Yoshida
Mar 17, 2006·The New England Journal of Medicine·Sharon K Inouye
Sep 17, 2009·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Claudia BussianReinhold Schwarz
Dec 17, 2009·British Journal of Anaesthesia·S Deiner, J H Silverstein
Jan 5, 2011·Critical Care : the Official Journal of the Critical Care Forum·Dong-Liang MuChun-Xia Shi
Jun 7, 2012·JAMA : the Journal of the American Medical Association·Edward R Marcantonio
Mar 24, 2016·Journal of the American Geriatrics Society·Karin J NeufeldDale M Needham

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Methods Mentioned

BETA
coronary artery bypass
biopsy
dissection

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