Langenbeck's Archives of Surgery

, Volume 398, Issue 7, pp 947–955

Perioperative management of delirium and dementia in the geriatric surgical patient

Review Article

DOI: 10.1007/s00423-013-1102-5

Cite this article as:
Hamrick, I. & Meyer, F. Langenbecks Arch Surg (2013) 398: 947. doi:10.1007/s00423-013-1102-5

Abstract

Background

Older adults undergo operations as our population ages. Increasing life expectancy and disease burden, along with decreased functional status and organ reserve, place the elderly surgical patient at higher general risk in the perioperative state. In particular, these patients have more diseases including dementia and medications that put them specifically at higher risk of delirium.

Purpose

This overview describes the diagnosis, pathophysiology, and treatment of delirium and its interface with depression and dementia, and explains aging changes based on the picture of perioperative management in surgical interventions.

Conclusions

Today, surgeons must be equipped to attend the geriatric patient's needs. Early recognition of comorbidities such as dementia and delirium as well as speedy and competent therapeutic treatment can limit consequences and impact.

Keywords

DeliriumDementiaNeurotransmitterSurgeryGeriatricDepression

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Geriatric Services, Department of Family MedicineUniversity of WisconsinMadisonUSA
  2. 2.Department of General, Abdominal and Vascular SurgeryMagdeburg University HospitalMagdeburgGermany