Postoperative delirium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged >=65 years; 2. Education level can be used to complete the assessment; 3. Elective orthopedic operations were performed under general anesthesia, including Hip Arthroplasty, Proximal Femoral Nail Antirotation, Knee Arthroplasty, etc; 4. Body Mass Index < 30 kg/m2; 5. ASA grade II-III; 6. Important organs function well.
Exclusion criteria
Exclusion criteria: 1. Facial skin infection, trauma and scar cannot be treated with buccal acupuncture; 2. Facial trigeminal nerve and facial nerve injury; 3. Severe cardiopulmonary function disease; opioid or alcohol abuse; 4. History of nervous system or mental illness; 5. Current use of sedatives or antidepressants; 6. Severe audiovisual impairment and language barrier; 7. Preoperative Mini-mental State Examination score screening (illiterate less than 17 points, primary school less than 20 points, middle school less than 22 points, university education level less than 23 points) ; 8. Preoperative Confusion Assessment Method was positive; 9. Patients who refuse buccal acupuncture.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of delirium during the first 7 postoperative days; | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium severity;Delirium duration;Delirium subtype;Postoperative pain scores;Intraoperative total consumption of sufentanil and remifentanil;Postoperative adverse events;Number of effective presses of patient-controlled intravenous analgesia;Postoperative hospital stay; | — |
Countries
China
Contacts
Affiliated People's Hospital of Jiangsu University