Postanesthesia care unit delirium following robot‐assisted vs open retropubic radical prostatectomy: A prospective observational study

Background The aim of this study was to compare the incidence of early postoperative delirium in the postanesthesia care unit (PACU) between robot‐assisted radical prostatectomy (RARP) in the extreme Trendelenburg position and open retropubic radical prostatectomy (ORP) in supine position. Methods P...

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Bibliographic Details
Published in:The international journal of medical robotics + computer assisted surgery 2020-06, Vol.16 (3), p.e2094-n/a
Main Authors: Beck, Stefanie, Hoop, Dennis, Ragab, Haissam, Rademacher, Cornelius, Meßner‐Schmitt, Aurelie, von Breunig, Franziska, Haese, Alexander, Graefen, Markus, Zöllner, Christian, Fischer, Marlene
Format: Article
Language:English
Subjects:
Anesthesia
Cancer surgery
Delirium
Observational studies
postoperative delirium
postoperative neurocognitive disorders
Prostate cancer
radical prostatectomy
Robots
Supine position
Trendelenburg position
Urological surgery
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Summary:Background The aim of this study was to compare the incidence of early postoperative delirium in the postanesthesia care unit (PACU) between robot‐assisted radical prostatectomy (RARP) in the extreme Trendelenburg position and open retropubic radical prostatectomy (ORP) in supine position. Methods Patients were screened for delirium signs 15, 30, 45, and 60 minutes following extubation. Results PACU delirium was present in 39.3% of RARP (64/163) patients and 41.8% of ORP (77/184) patients. Higher age (OR 1.072, 95%CI: 1.034‐1.111, P 
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2094