Delirium Prevention in Postcardiac Surgical Critical Care

Crit Care Clin. 2020 Oct;36(4):675-690. doi: 10.1016/j.ccc.2020.06.001.


This review provides an overview for health care teams involved in the perioperative care of cardiac surgery patients. The intention is to summarize key determinants of delirium, its impact on short- and long-term outcomes as well as to discuss effective management strategies. The first component of this review examines the prevalence and the factors associated with an increased risk of postoperative delirium. A multitude of predisposing (eg, baseline vulnerability and comorbidities) and precipitating (eg, type of cardiac surgery and postoperative care) factors that contribute to the occurrence of delirium are discussed.

Keywords: Cardiac surgery; Delirium; Enhanced recovery; Intensive care unit; Perioperative care.

Publication types

  • Review

MeSH terms

  • Cardiac Surgical Procedures*
  • Critical Care
  • Delirium*
  • Humans
  • Intensive Care Units
  • Postoperative Care
  • Postoperative Complications
  • Risk Factors