Preoperative alcohol consumption, intraoperative bleeding and postsurgical pain may increase the risk of postoperative delirium in patients undergoing radical retropubic prostatectomy

Abstract

Background/Aim. The incidence of postoperative delirium (POD) after non-cardiac surgery is a problem often not recognized by many anesthesiologists. The objective of our study was to detect POD and its possible cause, in patients undergoing Radical Retropubic Prostatectomy (RRP) under general anesthesia. Methods. After Ethical Committee approval, we enrolled 80 patients, ASA status II, in a prospective study, who were scheduled to undergo RRP under general anesthesia. All patients completed MMSE tests Iako veće intraoperativno krvarenje i postoperativni bol višeg intenziteta nisu uticali na učestalost pojave delirijuma, snižavali su MMSE skorovi, što ukazuje na značaj adekvatnog intraoperativnog tretmana pacijenta u toku hirurgije i anestezije u cilju smanjenja rizika za razvoj POD. Ključne reči: postoperativni delirijum, konzumiranje alkohola, intraoperativno krvarenje, postoperativni bol, radikalna retropubična prostatektomija.