jueves, 18 de junio de 2015

Dexmedetomidina en geriatría/Dexmedetomidine in geriatrics

Delirio en el anciano: Uso de la dexmedetomidina
Delirium tremens in the elderly: Papel de la dexmedetomidina
Sehgal V, Bajwa SJ, Consalvo JA, Bajaj A, Sehgal R.
Int J Nutr Pharmacol Neurol Dis [serial online] 2015 [cited 2015 Jun 8];5:89-94.
The elderly are more predisposed to depression, which puts them at high risk for alcohol abuse and alcohol-related disorders such as delirium tremens (DTs). But its clinical presentation is often complicated by underlying comorbid conditions, such as congestive heart failure (CHF), atrial fibrillation (AF), sepsis, chronic kidney disease (CKD), electrolyte imbalance, dementia, malglycemia, nutritional deficiencies, and polypharmacy. The current review is aimed at defining the appropriate management of these clinical conundrums that frequently accompany alcohol abuse in the elderly, leading to increased morbidity and mortality. It also emphasizes the emerging role of dexmedetomidine in treating the elderly with DTs.
Keywords: Alcohol abuse, atrial fibrillation (AF), chronic kidney disease (CKD), delirium tremens (DTs), dexmedetomidine, elderly, malglycemia, polypharmacy
Anestesia y Medicina del Dolor
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