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Note the progressive clearing of the fluid.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Martínez-Solano, I. Sousa-Casasnovas, P. Santa-Teresa, J.J. García-López, L.P. Maestu, M. Martínez-Sellés" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Martínez-Solano" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Sousa-Casasnovas" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Santa-Teresa" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "García-López" ] 4 => array:2 [ "nombre" => "L.P." "apellidos" => "Maestu" ] 5 => array:2 [ "nombre" => "M." 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Juarez-Sanchez, V. Heras Hernando, T. Brunete Jimenez, C.R. Molina Mendoza, D. Arnal Velasco, L. Fernández Téllez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Juarez-Sanchez" "email" => array:1 [ 0 => "alejandro.juarez@salud.madrid.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Heras Hernando" ] 2 => array:2 [ "nombre" => "T." "apellidos" => "Brunete Jimenez" ] 3 => array:2 [ "nombre" => "C.R." "apellidos" => "Molina Mendoza" ] 4 => array:2 [ "nombre" => "D." "apellidos" => "Arnal Velasco" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Fernández Téllez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesia, Reanimación y Terapéutica del Dolor, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cómo un único caso de delirio perioperatorio marca la diferencia" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Delirium or acute confusional state (ACS) is a syndrome characterised by an alteration in consciousness and perception and a reduced ability to focus, sustain, or shift attention. It is usually temporary, fluctuating, and reversible. ACS is always precipitated by a medical issue, though the cause is rarely detected.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The prevalence of perioperative delirium varies from 9% to 55% in the literature.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We present a case of severe postoperative delirium leading to a major event that required an invasive procedure, and describe how the analysis of this incident led to significant improvements in care quality.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case report</span><p id="par0015" class="elsevierStylePara elsevierViewall">During the recent COVID-19 outbreak, an 81-year old man, ASA III, underwent laparoscopic cystectomy under general anaesthesia. A right internal jugular central venous catheter (CVC) was placed after anaesthesia induction. The intervention was uneventful, and a few hours after surgery, following our institutional protocol, the patient was discharged from the recovery room to the ward. At that time there was no specific ACS prevention protocol in place in our hospital. Pain management consisted of paracetamol every 4 hours combined with non-steroidal anti-inflammatories and tramadol on demand. Lorazepam 1 mg had been prescribed for sleeping.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Due to the extraordinary protective measures introduced during the COVID-19 pandemic, visits from relatives were severely restricted, and only patients were allowed on the ward.</p><p id="par0025" class="elsevierStylePara elsevierViewall">During his first night on the ward, the patient suffered an ACS episode during which he cut the CVC line at skin level using a pair of scissors that had been placed nearby for urostomy pouch self-care. This caused acute desaturation, which was promptly treated by oxygenating the patient with a V-mask. An X-Ray was performed, and showed the CVC partly hosted in the right heart cavities.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The event was reported to the Spanish Anaesthesia and Reanimation Incident Reporting System (SENSAR),<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> where it was analysed retrospectively by the anaesthesiology department incident analysis group using the London protocol toolkit.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Among the contributing factors identified were: major surgery, dangerous material accessible to patients, COVID epidemic, restrictive visiting rules, and lack of a correct perioperative delirium stratification risk tool. The incident analysis group concluded that the incident could pose an extreme risk if it should happen again.</p><p id="par0035" class="elsevierStylePara elsevierViewall">SENSAR provides anaesthesia departments in Spain with methodology and tools to help professionals learn from reported incidents and implement corrective strategies.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0040" class="elsevierStylePara elsevierViewall">We report a case in which postoperative ACS led to a serious adverse event, and describe how it was managed on a clinical level and analysed using the incident reporting system.</p><p id="par0045" class="elsevierStylePara elsevierViewall">As mentioned, perioperative delirium is a common cause of postoperative morbidity, which in turn prolongs hospital stays and increases care costs. The physiopathology of delirium remains unknown, but several risk factors have been identified: elderly patients, pre-existing neurologic disorders, sleep-wake cycle alteration, stressful situations such as surgery, immobilisation, and malnutrition. There is no specific treatment for delirium itself; instead, the underlying problem should be addressed. Studies strongly recommend preventing delirium by modifying risk factors.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,5</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">In this case, the event analysis report recommended forming a multidisciplinary Delirium Task Force to discuss and implement measures that will allow clinicians to detect patients at risk of ACS, implement preventive measures, and correctly diagnose and treat ACS once established, particularly during the perioperative period.</p><p id="par0055" class="elsevierStylePara elsevierViewall">The proposed measures included drawing up a questionnaire to stratify postoperative ACS risk, and permitting patients with a moderate-to-high risk to be accompanied by a family member. The questionnaire, based on the cross-cultural adaptation and validation of Pfeiffer’s Short Portable Mental Status Questionnaire (SPMSQ),<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,6</span></a> is administered during the pre-anaesthesia consultation in all patients aged over 70 years and expected to remain on the ward for more than 48 hours. The patient’s clinical history is flagged if they score >3 points on the questionnaire or have a history of dementia or ACS.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Several interventions for reducing the appearance of ACS have been implemented, including postoperative ACS screening in the ICU and on the ward, treating and minimising predisposing factors (uncontrolled pain, benzodiazepines), implementing non-pharmacological preventive measures, and promptly treating signs of ACS. Most of the published evidence supports the use of mainly nonpharmacological measures to prevent delirium. These include measures related to resting times, patient environment, the presence of family members, communication, and medication. Recommended strategies include involving family members in patient care, placing watches, clocks, calendars, and personal objects in the patient’s room, encouraging early mobilization, providing cognitive stimulation with radios, television or magazines, facilitating patient communication, encouraging patients to use hearing aids and glasses if needed, monitoring for signs of drug-related adverse effects, and restricting sleep during the day.</p><p id="par0065" class="elsevierStylePara elsevierViewall">In conclusion, this case shows how a single reported incident provided the impetus for institutional learning, and led to the introduction of multidisciplinary measures to reduce perioperative morbidity.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethics policy</span><p id="par0070" class="elsevierStylePara elsevierViewall">Informed consent was obtained from the patient’s relative.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conflicts of interest</span><p id="par0075" class="elsevierStylePara elsevierViewall">Alejandro Juarez-Sanchez, MD none, Violeta Heras Hernando, MD none, Tamara Brunete Jimenez, MD none, Carlos Rodrigo Molina Mendoza, MD none, Daniel Arnal Velasco membership on Perioperative Care and Operating Room Management Editorial Board</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Funding</span><p id="par0080" class="elsevierStylePara elsevierViewall">No funding was received.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Author statement</span><p id="par0085" class="elsevierStylePara elsevierViewall">Alejandro Juarez-Sanchez: Conceptualization; Data curation; Roles/Writing - original draft.</p><p id="par0090" class="elsevierStylePara elsevierViewall">Violeta Heras-Hernando: Conceptualization; Data curation; Roles/Writing - original draft; Writing - review & editing.</p><p id="par0095" class="elsevierStylePara elsevierViewall">Tamara Brunete-Jimenez: Investigation; Methodology; Visualization.</p><p id="par0100" class="elsevierStylePara elsevierViewall">Carlos Rodrigo Molina-Mendoza: Conceptualization; Writing - review & editing.</p><p id="par0105" class="elsevierStylePara elsevierViewall">Daniel Arnal-Velasco: Conceptualization; Writing - review & editing; Supervision.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:12 [ 0 => array:3 [ "identificador" => "xres2216859" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1858191" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres2216860" "titulo" => "Resumen" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1858192" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Case report" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Ethics policy" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 9 => array:2 [ "identificador" => "sec0030" "titulo" => "Funding" ] 10 => array:2 [ "identificador" => "sec0035" "titulo" => "Author statement" ] 11 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-06-27" "fechaAceptado" => "2024-01-16" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1858191" "palabras" => array:4 [ 0 => "Case report" 1 => "Delirium" 2 => "Central venous catheters/adverse effects" 3 => "Patient safety" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1858192" "palabras" => array:4 [ 0 => "Informe de caso" 1 => "Delirio" 2 => "Catéteres venosos centrales/efectos adversos" 3 => "Seguridad del paciente" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This report describes how postoperative delirium in an elderly man during COVID-19 pandemic led to a serious event involving a central venous catheter. Delirium is a common cause of perioperative morbidity and mortality, and is characterised by an alteration in consciousness and perception and a reduced ability to focus, sustain or shift attention. The event was analysed by a multidisciplinary committee which developed a risk stratification delirium protocol in order to prevent similar events in the future.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Este informe describe el modo en que el delirio postoperatorio en un hombre mayor durante la pandemia de COVID-19 causó un episodio grave en el que el catéter venoso central se vio implicado. El delirio es una causa común de morbilidad y mortalidad perioperatoria, caracterizado por una alteración de la consciencia y la percepción de reducción de la capacidad de centrar, mantener, o trasladar la atención. Dicho episodio fue analizado por un comité multidisciplinar, que desarrolló un protocolo de estratificación del riesgo de delirio, a fin de prevenir episodios similares en el futuro.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "In-facility delirium prevention programs as a patient safety strategy: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.T. Reston" 1 => "K.M. Schoelles" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7326/0003-4819-158-5-201303051-00003" "Revista" => array:7 [ "tituloSerie" => "Ann Intern Med" "fecha" => "2013" "volumen" => "158" "numero" => "5 PART 2" "paginaInicial" => "375" "paginaFinal" => "380" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23460093" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevention, diagnosis, and management of postoperative delirium in older adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.R. Flinn" 1 => "K.M. Diehl" 2 => "L.S. Seyfried" 3 => "P.N. Malani" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jamcollsurg.2009.03.008" "Revista" => array:6 [ "tituloSerie" => "J Am Coll Surg" "fecha" => "2009" "volumen" => "209" "paginaInicial" => "261" "paginaFinal" => "268" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19632604" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "National critical incident reporting systems relevant to anaesthesia: a European survey" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Reed" 1 => "D. Arnal" 2 => "O. Frank" 3 => "J.I. Gomez-Arnau" 4 => "J. Hansen" 5 => "O. Lester" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/bja/aet406" "Revista" => array:6 [ "tituloSerie" => "Br J Anaesth" "fecha" => "2014" "volumen" => "112" "paginaInicial" => "546" "paginaFinal" => "555" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24318857" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Aldecoa" 1 => "G. Bettelli" 2 => "F. Bilotta" 3 => "R.D. Sanders" 4 => "R. Audisio" 5 => "A. Borozdina" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/EJA.0000000000000594" "Revista" => array:6 [ "tituloSerie" => "Eur J Anaesthesiol" "fecha" => "2017" "volumen" => "34" "paginaInicial" => "192" "paginaFinal" => "214" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28187050" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E. Pfeiffer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1532-5415.1975.tb00927.x" "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "1975" "volumen" => "23" "paginaInicial" => "433" "paginaFinal" => "441" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1159263" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cross-cultural adaptation and validation of Pfeiffer’s test (Short Portable Mental Status Questionnaire [SPMSQ]) to screen cognitive impairment in general population aged 65 or older" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Martínez De La Iglesia" 1 => "R.D. Herrero" 2 => "M.C.O. Vilches" 3 => "C.A. Taberné" 4 => "C.A. Colomer" 5 => "R.L. Luque" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0025-7753(01)72040-4" "Revista" => array:6 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2001" "volumen" => "117" "paginaInicial" => "129" "paginaFinal" => "134" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11472684" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000007100000007/v2_202408061353/S2341192924000647/v2_202408061353/en/main.assets" "Apartado" => array:4 [ "identificador" => "65601" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Report" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000007100000007/v2_202408061353/S2341192924000647/v2_202408061353/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192924000647?idApp=UINPBA00004N" ]
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Case report
How a single perioperative delirium case can make the difference
Cómo un único caso de delirio perioperatorio marca la diferencia
A. Juarez-Sanchez
, V. Heras Hernando, T. Brunete Jimenez, C.R. Molina Mendoza, D. Arnal Velasco, L. Fernández Téllez
Corresponding author
Servicio de Anestesia, Reanimación y Terapéutica del Dolor, Hospital Universitario Fundación Alcorcón, Alcorcón (Madrid), Spain