Clinical Case Database / Category: Patient Management

Post-operative delirium

Publication details

Rachael Dolan, Dr FA Levins MB, BS, FRCA, DEAA, DRCOG
Foundation Years Journal, volume 9, issue 9, p.27 (123Doc Education, London, October 2015)


We present the case of an 84 year old female who had a fractured neck of femur and developed acute confusion following administration of opioids. Her confusion resolved but it posed a challenge for the anaesthetic team. Delirium is well defined and common in occurrence and a good understanding is required at all levels, across all specialties. This paper will look into more detail at the risk factors, clinical assessment and treatment of delirium. We shall also look at the specific anaesthetic challenge posed by this patient.

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Rachael Dolan

CT2 Anaesthetics
Department of Anaesthetics
Queen Elizabeth Hospital Birmingham
Mindelsohn Way, Edgbaston, Birmingham, B15 2WB

Dr FA Levins MB, BS, FRCA, DEAA, DRCOG (Corresponding author)

Consultant Anaesthetist
Department of Anaesthetics
Queen Elizabeth Hospital Birmingham
Mindelsohn Way, Edgbaston, Birmingham, B15 2WB


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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