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European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium

Aldecoa, César; Bettelli, Gabriella; Bilotta, Federico; Sanders, Robert D.; Audisio, Riccardo; Borozdina, Anastasia; Cherubini, Antonio; Jones, Christina; Kehlet, Henrik; MacLullich, Alasdair; Radtke, Finn; Riese, Florian; Slooter, Arjen J.C.; Veyckemans, Francis; Kramer, Sylvia; Neuner, Bruno; Weiss, Bjoern; Spies, Claudia D.

European Journal of Anaesthesiology (EJA): April 2017 - Volume 34 - Issue 4 - p 192–214
doi: 10.1097/EJA.0000000000000594

The purpose of this guideline is to present evidence-based and consensus-based recommendations for the prevention and treatment of postoperative delirium. The cornerstones of the guideline are the preoperative identification and handling of patients at risk, adequate intraoperative care, postoperative detection of delirium and management of delirious patients. The scope of this guideline is not to cover ICU delirium. Considering that many medical disciplines are involved in the treatment of surgical patients, a team-based approach should be implemented into daily practice. This guideline is aimed to promote knowledge and education in the preoperative, intraoperative and postoperative setting not only among anaesthesiologists but also among all other healthcare professionals involved in the care of surgical patients.

From the Department of Anesthesiology and Intensive Care Medicine, Charité Campus Virchow-Klinikum and Charité Campus Mitte, Charité – Universitätsmedizin Berlin, Berlin, Germany (FR, SK, BN, BW, CDS); Department of Anesthesiology, Facultad de Medicina de Valladolid, Hospital Universitario Rio Hortega, Valladolid, Spain (CA); Department of Geriatric Surgery; Department of Anaesthesia, Analgesia and Intensive Care, Italian National Research Centres on Aging/IRCCS, Ancona (GB); Department of Anesthesiology, Critical Care and Pain Medicine, ‘Sapienza’ University of Rome, Rome, Italy (FB); Department of Anaesthesiology, University of Wisconsin, Madison, Wisconsin, USA (RDS); Department of Surgery, St. Helens Hospital, Merseyside; University of Liverpool, Liverpool, United Kingdom (RA); Petrovsky National Research Center of Surgery, Moscow, Russia (AB); Geriatria ed Accettazione Geriatrica d’Urgenza, IRCCS-INRCA, Ancona, Italy (AC); Whiston Hospital, Prescot, Merseyside, United Kingdom (CJ); Section of Surgical Pathophysiology and The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark (HK); Edinburgh Delirium Research Group, Geriatric Medicine Unit, University of Edinburgh, Edinburgh, United Kingdom (AM); Department of Anaesthesia, Anæstesiologisk Afdeling, Næstved, Denmark (FR); Psychiatric University Hospital, Zurich, Switzerland (FR); Department Intensive Care Medicine and Brain Centre Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands (AJCS); Service d’Anesthésiologie, Cliniques universitaires St Luc, Brussels, Belgium (FV)

Correspondence to Prof Claudia D. Spies, Department of Anaesthesiology and Intensive Care Medicine, Charité – Universitätsmedizin Berlin, Charité Campus Virchow-Klinikum and Charité Campus Mitte, D-10117 Berlin, Germany Tel: +49 30 450 531012/+49 30 450 531052; fax: +49 30 450 531911; e-mail:

Published online 9 February 2017

© 2017 European Society of Anaesthesiology