Detection, Prevention, and Management of Delirium in the Critically Ill Cardiac Patient and Patients Who Undergo Cardiac Procedures

In this is review article the authors have proposed a "3-strike" model of risk that increases the likelihood of experiencing postoperative delirium in older adults undergoing cardiac surgery. The 3 strikes consists of a baseline vulnerability (such as frailty), the intraoperative surgical stressor and the postoperative hemodynamic perturbations (and other process of care factors) that can contribute to the occurance of postoperative delirium. Pratical tips on how cardiac team can begin to address this important issue are provided in this review.