Page last updated: 2024-10-27

fentanyl and Delirium

fentanyl has been researched along with Delirium in 60 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Delirium: A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)

Research Excerpts

ExcerptRelevanceReference
"Fentanyl is associated with a higher incidence of hospital inpatient delirium when used for analgosedation compared with morphine, and the dose of opioid is linearly related to the need for antipsychotic medication administration."9.69Delirium in ventilated patients receiving fentanyl and morphine for Analgosedation: Findings from the ANALGESIC trial. ( Bellomo, R; Browne, E; Casamento, A; Chudleigh, L; Eastwood, GM; Lawrence, M; Neto, AS; Taplin, C, 2023)
" One patient in the propofol group developed delirium compared to zero in desflurane."9.24The effect of desflurane versus propofol anesthesia on postoperative delirium in elderly obese patients undergoing total knee replacement: A randomized, controlled, double-blinded clinical trial. ( Goodman, S; Huddleston, J; Lemmens, HJ; Maloney, W; Sommer, BR; Tanaka, P, 2017)
" In this study, 42 patients (American Society of Anesthesiology physical status I and II) who underwent scoliosis surgery were divided into two groups according to sedation protocols: group dexmedetomidine (DEX) (n = 22) and group midazolam (MDZ) (n = 20)."9.17Pain, fentanyl consumption, and delirium in adolescents after scoliosis surgery: dexmedetomidine vs midazolam. ( Aydogan, MS; Colak, C; Durmus, M; Erdogan, MA; Karaman, A; Korkmaz, MF; Ozgül, U; Togal, T; Yucel, A, 2013)
"In 99 patients receiving IV fentanyl, midazolam, or both, we evaluated drug doses, covariates likely to influence drug effects (age, body mass index, and renal and hepatic dysfunction); delirium risk factors; concomitant administration of CYP3A and P-glycoprotein substrates/inhibitors; ABCB1, ABCG2, and CYP3A5 genetic polymorphisms; and fentanyl and midazolam plasma levels."7.79Factors predisposing to coma and delirium: fentanyl and midazolam exposure; CYP3A5, ABCB1, and ABCG2 genetic polymorphisms; and inflammatory factors. ( Cossette, M; Leger, C; Michaud, V; Skrobik, Y; Turgeon, J, 2013)
"Dexmedetomidine may help to eliminate the emergence of agitation and can be a good treatment choice for the delirium state after cardiac surgery."7.77Dexmedetomidine in cardiac surgery patients who fail extubation and present with a delirium state. ( Aykac, Z; Can, Y; Coruh, T; Kehlibar, T; Ozler, A; Tarhan, A; Yapici, F; Yapici, N, 2011)
"We hypothesized that better methods of postoperative pain control would decrease postoperative delirium."6.70[Patient-controlled epidural analgesia with bupivacaine and fentanyl suppresses postoperative delirium following hepatectomy]. ( Kawamoto, M; Tanaka, H; Tokita, K; Yuge, O, 2001)
"Fentanyl is associated with a higher incidence of hospital inpatient delirium when used for analgosedation compared with morphine, and the dose of opioid is linearly related to the need for antipsychotic medication administration."5.69Delirium in ventilated patients receiving fentanyl and morphine for Analgosedation: Findings from the ANALGESIC trial. ( Bellomo, R; Browne, E; Casamento, A; Chudleigh, L; Eastwood, GM; Lawrence, M; Neto, AS; Taplin, C, 2023)
" Emergency surgery, more doses of midazolam, and fentanyl may be independent risk factors for SAD in mechanically ventilated patients with sepsis."5.34Incidence, risk factors, and outcomes for sepsis-associated delirium in patients with mechanical ventilation: A sub-analysis of a multicenter randomized controlled trial. ( Kawazoe, Y; Miyamoto, K; Mizobata, Y; Morimoto, T; Ohta, Y; Yamamoto, T; Yamamura, H, 2020)
" One patient in the propofol group developed delirium compared to zero in desflurane."5.24The effect of desflurane versus propofol anesthesia on postoperative delirium in elderly obese patients undergoing total knee replacement: A randomized, controlled, double-blinded clinical trial. ( Goodman, S; Huddleston, J; Lemmens, HJ; Maloney, W; Sommer, BR; Tanaka, P, 2017)
"The sedative effects of dexmedetomidine in the ICU patients treated with ventilator bundle treatment are satisfactory, and it can shorten the duration of mechanical ventilation, extubation time and length of ICU stay, reduce the incidence of delirium."5.20[A study of using dexmedetomidine in ventilator bundle treatment in an ICU]. ( Dong, C; Li, J; Song, R; Yang, J, 2015)
" In this study, 42 patients (American Society of Anesthesiology physical status I and II) who underwent scoliosis surgery were divided into two groups according to sedation protocols: group dexmedetomidine (DEX) (n = 22) and group midazolam (MDZ) (n = 20)."5.17Pain, fentanyl consumption, and delirium in adolescents after scoliosis surgery: dexmedetomidine vs midazolam. ( Aydogan, MS; Colak, C; Durmus, M; Erdogan, MA; Karaman, A; Korkmaz, MF; Ozgül, U; Togal, T; Yucel, A, 2013)
"In this double-blind, double-dummy study, there was no difference in the efficacy of intranasal fentanyl, IM and IV morphine in controlling postoperative pain and emergence delirium in children undergoing BMT placement."5.16Postoperative analgesic and behavioral effects of intranasal fentanyl, intravenous morphine, and intramuscular morphine in pediatric patients undergoing bilateral myringotomy and placement of ventilating tubes. ( Friedman, EM; Giannoni, C; Govindan, K; Hippard, HK; Larrier, D; Minard, CG; Sulek, M; Watcha, MF, 2012)
"In this post hoc analysis, larger doses of fentanyl administered intraoperatively and longer duration of mechanical ventilation were associated with postoperative delirium in the elderly after cardiac surgery."5.14Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass. ( Burkhart, CS; Dell-Kuster, S; Filipovic, M; Gamberini, M; Grapow, M; Moeckli, A; Monsch, AU; Seeberger, MD; Steiner, LA; Strebel, SP, 2010)
"Although recent studies suggest that opioid rotation could be an effective treatment strategy for morphine-induced delirium, there have been no prospective studies to investigate the treatment effects of opioid rotation using fentanyl."5.11Opioid rotation from morphine to fentanyl in delirious cancer patients: an open-label trial. ( Akechi, T; Ikenaga, M; Matsubara, T; Miyoshi, I; Morita, T; Onishi, H; Tajima, T; Takigawa, C; Tani, K; Uchitomi, Y, 2005)
" We evaluated doses of fentanyl, midazolam and clonidine, time of extubation, length of PICU stay and occurrence of withdrawal symptoms and delirium."4.12Sedation practices during high dose rate brachytherapy for children with urogenital and perianal rhabdomyosarcoma. ( Fuchs, J; Hofbeck, M; Kumpf, M; Michel, J; Neunhoeffer, F; Paulsen, F; Sauter, L; Schmidt, A, 2022)
"This study evaluated the difference in days alive without delirium or coma and the sedative requirements in patients receiving fentanyl versus hydromorphone in ECMO patients."3.96Comparison of Hydromorphone versus Fentanyl-based Sedation in Extracorporeal Membrane Oxygenation: A Propensity-Matched Analysis. ( Goméz, H; Harano, T; Landolf, KM; Murray, HN; Padmanabhan, RR; Rivosecchi, RM; Sanchez, PG; Sappington, PL; Sciortino, CM, 2020)
" Fentanyl (77%) and hydromorphone (48%) were the most common intravenous opioids used to manage pain."3.91Current practice and perceptions regarding pain, agitation and delirium management in patients receiving venovenous extracorporeal membrane oxygenation. ( Abrams, D; Agerstrand, C; Brodie, D; Dzierba, AL; Madahar, P; Muir, J, 2019)
"The incidence of delirium was compared among 114 patients who had started morphine, oxycodone, or fentanyl injection at Shizuoka Cancer Center between June 2012 and September 2014."3.85Incidence of Delirium Among Patients Having Cancer Injected With Different Opioids for the First Time. ( Ishikawa, H; Matsumoto, T; Mori, K; Omae, K; Osaka, I; Sato, T; Shino, M; Tanaka, R, 2017)
" Fentanyl, midazolam, and dexmedetomidine were the first choices of agents for analgesic, sedation, and delirium treatment."3.85A National Multicenter Survey on Management of Pain, Agitation, and Delirium in Intensive Care Units in China. ( Hu, B; Li, JG; Peng, ZY; Rao, X; Wang, J; Zhou, WH, 2017)
"Older age, higher SOFA score, regular smoking, and higher maintenance dose of midazolam and fentanyl when patients met sequential criteria were independent risk factors of delirium in sequential sedation patients."3.85Risk Factors of Delirium in Sequential Sedation Patients in Intensive Care Units. ( Kang, Y; Lv, Y; Wang, P; Wang, Z; Xu, B; Yang, J; Zhou, Y, 2017)
"In 99 patients receiving IV fentanyl, midazolam, or both, we evaluated drug doses, covariates likely to influence drug effects (age, body mass index, and renal and hepatic dysfunction); delirium risk factors; concomitant administration of CYP3A and P-glycoprotein substrates/inhibitors; ABCB1, ABCG2, and CYP3A5 genetic polymorphisms; and fentanyl and midazolam plasma levels."3.79Factors predisposing to coma and delirium: fentanyl and midazolam exposure; CYP3A5, ABCB1, and ABCG2 genetic polymorphisms; and inflammatory factors. ( Cossette, M; Leger, C; Michaud, V; Skrobik, Y; Turgeon, J, 2013)
"Dexmedetomidine may help to eliminate the emergence of agitation and can be a good treatment choice for the delirium state after cardiac surgery."3.77Dexmedetomidine in cardiac surgery patients who fail extubation and present with a delirium state. ( Aykac, Z; Can, Y; Coruh, T; Kehlibar, T; Ozler, A; Tarhan, A; Yapici, F; Yapici, N, 2011)
"Partial opioid substitution with fentanyl and moderate levels of hydration had no significant preventive effects on the occurrence of agitated delirium in the last week on a mass level."3.72Agitated terminal delirium and association with partial opioid substitution and hydration. ( Inoue, S; Morita, T; Tei, Y, 2003)
"Five cases of post narcotic delirium, somnolence or coma are interpreted as central anticholinergic syndromes as they were reversed by physostigmine."3.66[Physostigmine reversal of central anticholinergic syndrome induced by midazolam/fentanyl, benzoctamine/buprenorphine and etomidate/carticaine or by atropine/promethazine/pethidine for premedication? (author's transl)]. ( Jost, U; Ruppert, M; Schmid, A, 1982)
"The dosage of fentanyl-nefopam IV-PCA was significantly less in C group than R group for postoperative 24 h."3.11Effect of remifentanil on post-operative analgesic consumption in patients undergoing shoulder arthroplasty after interscalene brachial plexus block: a randomized controlled trial. ( Bae, H; Kim, JT; Kim, Y; Lim, YJ; Park, SK; Sakura, S; Yoo, S, 2022)
"The rates of respiratory depression (1."3.11Effect of additional equipotent fentanyl or sufentanil administration on recovery profiles during propofol-remifentanil-based anaesthesia in patients undergoing gynaecologic laparoscopic surgery: a randomized clinical trial. ( Huang, D; Huang, J; Jian, Q; Li, P; Ma, J; Xie, H; Zeng, W; Zhang, C, 2022)
"Fentanyl did not increase the incidence of severe adverse events (RR, 0."2.82Effects of fentanyl administration in mechanically ventilated patients in the intensive care unit: a systematic review and meta-analysis. ( Aoki, Y; Doi, M; Fujimura, N; Kato, H; Sakuraya, M; Suzuki, Y, 2022)
" (4) Compared with control group with the same sedative, the duration of mechanical ventilation, extubation time, length of ICU stay were significantly shortened, and the dosage of sedative drugs used was reduced in study group (all P < 0."2.82[Study of prevention and control of delirium in ventilated patients by simulating blockage of circadian rhythm with sedative in intensive care unit]. ( Dong, C; Feng, F; Li, J; Qi, Y; Song, R; Yang, J; Yang, Z; Zhang, H, 2016)
" The average Ramsay score, the frequency of propofol, the highest score of NRS, the total dosage of fentanyl and recovery time were compared."2.79[Sedative effects of dexmedetomidine in post-operative elder patients on mechanical ventilation]. ( Huang, F; Jin, J; Kong, J; Liu, S; Wang, J; Xu, H; Yang, X, 2014)
"Remifentanil hydrochloride is an ultra-short acting m-opioid receptor agonist."2.72Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions. ( Ciritella, P; De Vivo, P; Del Gaudio, A; Lauta, E; Mastronardi, P; Perrotta, F; Puopolo, M, 2006)
"We hypothesized that better methods of postoperative pain control would decrease postoperative delirium."2.70[Patient-controlled epidural analgesia with bupivacaine and fentanyl suppresses postoperative delirium following hepatectomy]. ( Kawamoto, M; Tanaka, H; Tokita, K; Yuge, O, 2001)
" We rated the severity of AEs based on the Common Terminology Criteria for Adverse Events version 5."1.91Prevalence of opioid-induced adverse events across opioids commonly used for analgesic treatment in Japan: a multicenter prospective longitudinal study. ( Arakawa, S; Chiu, SW; Hiratsuka, Y; Hirayama, H; Inoue, A; Ishiki, H; Kosugi, K; Kubo, E; Matsuda, Y; Miyashita, M; Morita, T; Natsume, M; Nishijima, K; Ouchi, K; Sato, M; Satomi, E; Shigeno, T; Shimizu, M; Shimoda, M; Shimoi, T; Tagami, K; Yamaguchi, T; Yokomichi, N, 2023)
"Ketamine was used for 33."1.72Safety and feasibility of continuous ketamine infusion for analgosedation in medical and cardiac ICU patients who received mechanical ventilation support: A retrospective cohort study. ( Ahn, HY; Chung, CR; Jung, H; Ko, RE; Lee, J; Suh, GY; Yang, JH, 2022)
"Propofol and fentanyl were the sedative agents of choice in the early and late periods, respectively."1.56Singapore SPICE: sedation practices in intensive care evaluation in Singapore - a prospective cohort study of the public healthcare system. ( Bailey, MJ; Chia, N; Ho, BCH; Kalyanasundaram, G; Lim, D; Mukhopadhyay, A; Ng, SY; Phua, J; Shehabi, Y; Ti, LK; Wong, YL, 2020)
"Infant delirium is an under-recognized clinical entity in neonatal intensive care, and earlier identification and treatment could minimize morbidities associated with this condition."1.46A case of infant delirium in the neonatal intensive care unit. ( Bidegain, M; Cotten, CM; Edwards, LE; Hornik, CD; Hutchison, LB; Smith, PB, 2017)
"Propofol (89%) use was common, followed by midazolam (49%)."1.42A web-based survey of United Kingdom sedation practice in the intensive care unit. ( McKenzie, CA; Terblanche, M; Yassin, J; Yassin, SM, 2015)
"To determine the dosing patterns and total doses of fentanyl, lorazepam, and haloperidol according to nursing shift in a cohort of older patients in a medical intensive care unit."1.39Patterns of opiate, benzodiazepine, and antipsychotic drug dosing in older patients in a medical intensive care unit. ( Akgün, KM; Araujo, KL; Bramley, K; Murphy, TE; Pisani, MA; Vest, MT, 2013)
"ICU-delirium is common and occurred in all age groups in the present study."1.35[Incidence of intensive care unit delirium]. ( Svenningsen, H; Tønnesen, E, 2009)

Research

Studies (60)

TimeframeStudies, this research(%)All Research%
pre-19904 (6.67)18.7374
1990's4 (6.67)18.2507
2000's13 (21.67)29.6817
2010's28 (46.67)24.3611
2020's11 (18.33)2.80

Authors

AuthorsStudies
Zhang, C1
Huang, D1
Zeng, W1
Ma, J1
Li, P1
Jian, Q1
Huang, J1
Xie, H1
Kim, Y1
Bae, H1
Yoo, S1
Park, SK1
Lim, YJ1
Sakura, S1
Kim, JT2
Jung, H1
Lee, J1
Ahn, HY1
Yang, JH1
Suh, GY1
Ko, RE1
Chung, CR1
Aoki, Y1
Kato, H1
Fujimura, N1
Suzuki, Y1
Sakuraya, M1
Doi, M1
Casamento, A1
Neto, AS1
Lawrence, M1
Chudleigh, L1
Browne, E1
Taplin, C1
Eastwood, GM1
Bellomo, R1
Hiratsuka, Y1
Tagami, K1
Inoue, A1
Sato, M1
Matsuda, Y1
Kosugi, K1
Kubo, E1
Natsume, M1
Ishiki, H1
Arakawa, S1
Shimizu, M1
Yokomichi, N1
Chiu, SW1
Shimoda, M1
Hirayama, H1
Nishijima, K1
Ouchi, K1
Shimoi, T1
Shigeno, T1
Yamaguchi, T1
Miyashita, M1
Morita, T3
Satomi, E1
Hao, J1
Dong, B1
Zhang, J2
Luo, Z1
Yamamoto, T1
Mizobata, Y1
Kawazoe, Y1
Miyamoto, K1
Ohta, Y1
Morimoto, T1
Yamamura, H1
Landolf, KM1
Rivosecchi, RM1
Goméz, H1
Sciortino, CM1
Murray, HN1
Padmanabhan, RR1
Sanchez, PG1
Harano, T1
Sappington, PL1
Bastos, AS1
Beccaria, LM1
Silva, DCD1
Barbosa, TP1
Michel, J1
Sauter, L1
Neunhoeffer, F1
Hofbeck, M1
Kumpf, M1
Paulsen, F1
Schmidt, A1
Fuchs, J1
Wang, J2
Peng, ZY1
Zhou, WH1
Hu, B1
Rao, X1
Li, JG1
Tanaka, P1
Goodman, S1
Sommer, BR1
Maloney, W1
Huddleston, J1
Lemmens, HJ1
Yang, J3
Zhou, Y1
Kang, Y1
Xu, B1
Wang, P1
Lv, Y1
Wang, Z1
Ng, SY1
Phua, J1
Wong, YL1
Kalyanasundaram, G1
Mukhopadhyay, A1
Lim, D1
Chia, N1
Ho, BCH1
Bailey, MJ1
Shehabi, Y1
Ti, LK1
Dzierba, AL1
Abrams, D1
Madahar, P1
Muir, J1
Agerstrand, C1
Brodie, D1
Aydogan, MS1
Korkmaz, MF1
Ozgül, U1
Erdogan, MA1
Yucel, A1
Karaman, A1
Togal, T1
Durmus, M1
Colak, C1
Pisani, MA1
Bramley, K1
Vest, MT1
Akgün, KM1
Araujo, KL1
Murphy, TE1
Patel, SB2
Poston, JT1
Pohlman, A1
Hall, JB2
Kress, JP2
Takala, J2
Ely, EW1
Pandharipande, PP1
Hughes, CG1
Girard, TD1
Yassin, SM1
Terblanche, M1
Yassin, J1
McKenzie, CA1
Huang, F1
Yang, X1
Xu, H1
Kong, J1
Liu, S2
Jin, J1
Jiang, L1
Ding, S1
Yan, H1
Li, Y1
Zhang, L1
Chen, X1
Yin, X1
Tang, X1
Li, J2
Dong, C2
Zhang, H2
Song, R2
Yang, Z1
Feng, F1
Qi, Y1
Song, IK1
Park, YH1
Lee, JH1
Choi, IH1
Kim, HS1
Tanaka, R1
Ishikawa, H1
Sato, T1
Shino, M1
Matsumoto, T1
Mori, K1
Omae, K1
Osaka, I1
Gagnon, DJ1
Fontaine, GV1
Smith, KE1
Riker, RR1
Miller, RR1
Lerwick, PA1
Lucas, FL1
Dziodzio, JT1
Sihler, KC1
Fraser, GL1
Edwards, LE1
Hutchison, LB1
Hornik, CD1
Smith, PB1
Cotten, CM1
Bidegain, M1
Shiiba, M1
Takei, M1
Nakatsuru, M1
Bukawa, H1
Yokoe, H1
Uzawa, K1
Tanzawa, H1
Svenningsen, H1
Tønnesen, E1
Burkhart, CS1
Dell-Kuster, S1
Gamberini, M1
Moeckli, A1
Grapow, M1
Filipovic, M1
Seeberger, MD1
Monsch, AU1
Strebel, SP1
Steiner, LA1
Chen, J1
Li, W1
Hu, X1
Wang, D1
Yapici, N1
Coruh, T1
Kehlibar, T1
Yapici, F1
Tarhan, A1
Can, Y1
Ozler, A1
Aykac, Z1
Bilotta, F1
Doronzio, A1
Stazi, E1
Titi, L1
Zeppa, IO1
Cianchi, A1
Rosa, G1
Paoloni, FP1
Bergese, S1
Asouhidou, I1
Ioannou, P1
Abramowicz, AE1
Spinelli, A1
Delphin, E1
Ayrian, E1
Zelman, V1
Lumb, P1
Hippard, HK1
Govindan, K1
Friedman, EM1
Sulek, M1
Giannoni, C1
Larrier, D1
Minard, CG1
Watcha, MF1
Skrobik, Y1
Leger, C1
Cossette, M1
Michaud, V1
Turgeon, J1
Grace, RF1
Tei, Y1
Inoue, S1
Micek, ST1
Anand, NJ1
Laible, BR1
Shannon, WD1
Kollef, MH1
Takigawa, C1
Onishi, H1
Tajima, T1
Tani, K1
Matsubara, T1
Miyoshi, I1
Ikenaga, M1
Akechi, T1
Uchitomi, Y1
Del Gaudio, A1
Ciritella, P1
Perrotta, F1
Puopolo, M1
Lauta, E1
Mastronardi, P1
De Vivo, P1
van Rijswijk, R1
van Guldener, C1
Jost, U1
Schmid, A1
Ruppert, M1
Crawford, RD1
Baskoff, JD1
Kuzma, PJ1
Kline, MD1
Stamatos, JM1
Auth, DA1
Link, J1
Weiss, AP1
Murray, GB1
del Rosario, MA1
Feria, M1
Martín, AS1
Ortega, JJ1
del Castillo, LP1
Vielvoye-Kerkmeer, AP1
van der Weide, M1
Tokita, K1
Tanaka, H1
Kawamoto, M1
Yuge, O1
Granberg Axèll, AI1
Malmros, CW1
Bergbom, IL1
Lundberg, DB1
Steinberg, RB1
Gilman, DE1
Johnson, F1
Williams-Russo, P1
Urquhart, BL1
Sharrock, NE1
Charlson, ME1
Weinger, MB1
Swerdlow, NR1
Millar, WL1
Coppel, DL1
Bovill, JG1
Dundee, JW1

Clinical Trials (15)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block (FICB) for Fast-track Surgery in Elderly Hip Fracture[NCT05857462]420 participants (Anticipated)Interventional2023-05-31Recruiting
Modified Hospital Elder Life Program at Intensive Care Unit: A Stepped-Wedge Cluster Randomized Controlled Trial[NCT06054828]266 participants (Anticipated)Interventional2023-09-05Recruiting
A Survey of Management of Analgesia, Sedation and Delirium in ICU Patients in China[NCT04217915]800 participants (Anticipated)Observational2021-07-12Recruiting
Effect of Flumazenil on Hypoactive Delirium in the ICU: A Double-Blind, Placebo-Controlled Pilot Study[NCT02899156]Phase 422 participants (Actual)Interventional2016-03-31Terminated (stopped due to A planned interim analysis led to the trial being stopped early based on the observed size effect and power analysis.)
An Assessment of Delirium in Mechanically Ventilated Patients Undergoing Daily Awakening From Sedation[NCT00919698]102 participants (Actual)Observational2010-06-30Completed
Perioperative Multimodal General Anesthesia Focusing on Specific CNS Targets in Patients Undergoing Cardiac Surgeries[NCT04016740]Early Phase 122 participants (Actual)Interventional2019-08-20Completed
Impact of Dexmedetomidine on the Incidence of Postoperative Delirium in Patients After Cardiac Surgery: a Randomized, Double-blinded, and Placebo-controlled Clinical Trial[NCT02267538]Phase 4285 participants (Actual)Interventional2014-11-30Completed
[NCT01506622]222 participants (Actual)Interventional2011-01-31Completed
Effect of Clonidine vs. Dexmedetomidine in Addition to Standard Treatment in Agitated Delirium in Intensive Care Patients: Pilot Study.[NCT04758936]Phase 450 participants (Anticipated)Interventional2021-02-01Recruiting
Post Operative Cognitive Recovery and Neuropsychological Complications After General Anesthesia. A Comparison Between Different Techniques of Anesthesia: A Multi-Center Observational Study[NCT00507195]1,200 participants (Anticipated)Observational2007-05-31Recruiting
Postoperative Analgesic and Behavioral Effects of Intranasal Fentanyl, Intravenous Morphine and Intramuscular Morphine in Pediatric Patients Undergoing Bilateral Myringotomy and Placement of Ventilating Tubes[NCT01244126]Phase 4171 participants (Actual)Interventional2008-05-31Completed
Risk Factors for Delirium in Critically Ill Surgical Patients[NCT03050021]251 participants (Actual)Observational2013-04-01Completed
Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) Protocol[NCT01413009]200 participants (Actual)Observational2010-12-29Completed
Anesthesiological Strategies in Elective Craniotomy: Randomized, Equivalence, Open Trial[NCT00741351]Phase 3411 participants (Actual)Interventional2007-12-31Completed
Prevention of Nicotine Abstinence in Critically Ill Patients After Major Surgery[NCT03847155]52 participants (Actual)Interventional2015-09-23Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Duration of Study Infusion

average duration of time patient was randomized to each infusion up to 72 hours (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionhours (Mean)
Flumazenil Group54.8
Placebo Group58.2

Average Maximum Rate of Study Infusion

average maximum rate (ml/hr) during the 72 hours after study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionmilliliters per hour (Mean)
Flumazenil Group5
Placebo Group5.2

Intensive Care Unit Length of Stay

length of time that the patient was admitted to an intensive care unit service during the hospital stay (NCT02899156)
Timeframe: duration of admission to the intensive care unit

Interventiondays (Mean)
Flumazenil Group7.8
Placebo Group7

Number of Delirium-free Days

Defined by the number of days in the 14-day period after randomization that the patient was alive and not delirious (i.e. CAM-ICU negative). Zero delirium-free days will be observed for patients that die within the 14-day period. (NCT02899156)
Timeframe: up to 14 days after randomization

Interventiondays (Median)
Flumazenil Group12.7
Placebo Group9.2

Number of Mechanical Ventilator Free Days

number of days within the first 28 days after enrollment that the patient was free from needing mechanical ventilation (NCT02899156)
Timeframe: up to 28 days after randomization

Interventiondays (Mean)
Flumazenil Group23.6
Placebo Group24.9

Number of Participants With Delirium Resolution

defined by the proportion of patients who were delirium free at 14 days after randomization (NCT02899156)
Timeframe: up to 14 days after randomization

InterventionParticipants (Count of Participants)
Flumazenil Group9
Placebo Group7

Occurrence of Agitation Requiring Use of Rescue Sedatives While on Study Infusion

number of times that a RASS score of + 2 to +4 occurred that did not resolve with decreasing study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

InterventionParticipants (Count of Participants)
Flumazenil Group0
Placebo Group0

Incidence of Postoperative Delirium

Delirium was assessed with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) twice daily during the first five days after surgery. (NCT02267538)
Timeframe: During the first five days after surgery

InterventionParticipants (Count of Participants)
DEX Group7
CTRL Group11

Length of Stay in Hospital After Surgery

Results was presented as median (95% confidence interval). (NCT02267538)
Timeframe: From end of surgery until discharge from hospital or 30 days after surgery

Interventiondays (Median)
DEX Group9
CTRL Group9

Length of Stay in the Intensive Care Unit

Results was presented as median (95% confidence interval). (NCT02267538)
Timeframe: From end of surgery until discharge from Intensive Care Unit or 30 days after surgery

Interventionhours (Median)
DEX Group45.0
CTRL Group46.0

Cognitive Function

"Cognitive function was assessed with the Mini Mental State Examination (MMSE) at baseline (the day before surgery) and on the sixth day after surgery, and with modified telephone interview for cognitive status (m-TICS) on the 30th day after surgery.~The introduction of MMSE scale has been explained in the baseline part in the result section.~The Telephone Interview for Cognitive Status-modified scale(m-TICS) is one of the most popular telephone interview-based screening instruments for mild cognitive impairment and dementia. It consists 11 items including wordlist memory, orientation, attention, repetition, conceptual knowledge and nonverbal praxis, which score ranges from 0 to 48, with higher scores indicating better cognitive function" (NCT02267538)
Timeframe: on the sixth day after surgery, and on the 30th day after surgery

,
Interventionunits on a scale (Median)
MMSE score on postoperative day 6m-TICS score on postoperative day 30
CTRL Group2934
DEX Group2934

Incidence of Non-delirium Complications After Surgery

Non-delirium complications was defined as any conditions other than delirium that occurred during the first 30 days after surgery and required therapeutic intervention.Complications listed here were not considered adverse events in this study. (NCT02267538)
Timeframe: Occurrence of non-delirium complications will be monitored until 30 days after surgery.

,
InterventionParticipants (Count of Participants)
StrokeNew onset arrythmiaPulmonary complicationsUpper gastrointestinal bleedingSurgical bleedingWound dehiscence or infectionAcute kidney injuryIABP assistance
CTRL Group351274374412
DEX Group342152311376

Pain Intensity

Pain intensity was assessed daily at 8 am during the first five days after surgery with the Numeric Rating Scale (NRS, 0 = no pain, 10 = the worst possible pain). (NCT02267538)
Timeframe: During the first five days after surgery

,
Interventionunits on a scale (Median)
Pain score after surgery(d1), at restPain score after surgery(d2), at restPain score after surgery(d3), at restPain score after surgery(d4), at restPain score after surgery(d5), at restPain score after surgery(d1), with coughingPain score after surgery(d2), with coughingPain score after surgery(d3), with coughingPain score after surgery(d4), with coughingPain score after surgery(d5), with coughing
CTRL Group3322144432
DEX Group3432245432

Subjective Sleep Quality

Subjective sleep quality was assessed daily at 8 am during the first five days after surgery with the Numeric Rating Scale (NRS, 0 = best sleep, 10 = the worst possible sleep). (NCT02267538)
Timeframe: During the first five days after surgery

,
Interventionunits on a scale (Median)
Subjective sleep quality after surgery(d1), scoreSubjective sleep quality after surgery(d2), scoreSubjective sleep quality after surgery(d3), scoreSubjective sleep quality after surgery(d4), scoreSubjective sleep quality after surgery(d5), score
CTRL Group23222
DEX Group23222

Maximum PAED Score

"Maximum score on the Pediatric Anesthesia Emergence delirium scale. This has 5 items ranging from 1-4 and higher scores indicate greater emergence delirium.~1. eye contact with care giver ,score 1-4, purposeful actions 1-4, aware of surrounding 1-4,restless 1-4, inconsolable 1-4, Maximum score 20." (NCT01244126)
Timeframe: Upon arrival in the PACU, and at 5, 10, 15, 30, 45, 60 minutes and at discharge

Interventionunits on a scale (Mean)
IM Morphine6.1
IV Morphine6.3
Fentanyl IN4.6

Maximum Postoperative Face, Legs, Activity, Cry and Consolability (FLACC) Pain Score.

FLACC assigns 0-2 points for each of 5 categories (face, legs, activity, cry, consolability)and sums these points to give a total score where high scores indicate worse pain (Paediatr Anaesth 2006; 16: 258-65) (NCT01244126)
Timeframe: Upon arrival in the PACU, and at 5, 10, 15, 30, 45, 60 minutes and at discharge

Interventionunits on a scale (Mean)
IM Morphine2.9
IV Morphine2.7
Fentanyl IN2.0

Reviews

1 review available for fentanyl and Delirium

ArticleYear
Effects of fentanyl administration in mechanically ventilated patients in the intensive care unit: a systematic review and meta-analysis.
    BMC anesthesiology, 2022, 10-21, Volume: 22, Issue:1

    Topics: Analgesics, Opioid; Delirium; Fentanyl; Humans; Intensive Care Units; Morphine Derivatives; Remifent

2022

Trials

21 trials available for fentanyl and Delirium

ArticleYear
Effect of additional equipotent fentanyl or sufentanil administration on recovery profiles during propofol-remifentanil-based anaesthesia in patients undergoing gynaecologic laparoscopic surgery: a randomized clinical trial.
    BMC anesthesiology, 2022, 04-29, Volume: 22, Issue:1

    Topics: Anesthesia; Delirium; Dizziness; Female; Fentanyl; Humans; Laparoscopy; Nausea; Propofol; Remifentan

2022
Effect of remifentanil on post-operative analgesic consumption in patients undergoing shoulder arthroplasty after interscalene brachial plexus block: a randomized controlled trial.
    Journal of anesthesia, 2022, Volume: 36, Issue:4

    Topics: Analgesics; Analgesics, Opioid; Arthroplasty, Replacement, Shoulder; Brachial Plexus Block; Delirium

2022
Delirium in ventilated patients receiving fentanyl and morphine for Analgosedation: Findings from the ANALGESIC trial.
    Journal of critical care, 2023, Volume: 77

    Topics: Analgesics; Analgesics, Opioid; Antipsychotic Agents; Delirium; Fentanyl; Humans; Morphine; Respirat

2023
Pre-emptive analgesia with continuous fascia iliaca compartment block reduces postoperative delirium in elderly patients with hip fracture. A randomized controlled trial.
    Saudi medical journal, 2019, Volume: 40, Issue:9

    Topics: Aged; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Delirium; Double-Blind Method; Fe

2019
Incidence, risk factors, and outcomes for sepsis-associated delirium in patients with mechanical ventilation: A sub-analysis of a multicenter randomized controlled trial.
    Journal of critical care, 2020, Volume: 56

    Topics: Aged; Aged, 80 and over; Critical Care; Delirium; Female; Fentanyl; Hospital Mortality; Humans; Hypn

2020
The effect of desflurane versus propofol anesthesia on postoperative delirium in elderly obese patients undergoing total knee replacement: A randomized, controlled, double-blinded clinical trial.
    Journal of clinical anesthesia, 2017, Volume: 39

    Topics: Aged; Anesthesia, General; Arthroplasty, Replacement, Knee; Cognitive Dysfunction; Delirium; Desflur

2017
Pain, fentanyl consumption, and delirium in adolescents after scoliosis surgery: dexmedetomidine vs midazolam.
    Paediatric anaesthesia, 2013, Volume: 23, Issue:5

    Topics: Adolescent; Analgesics, Opioid; Anesthesia, General; Arterial Pressure; Child; Conscious Sedation; C

2013
[Sedative effects of dexmedetomidine in post-operative elder patients on mechanical ventilation].
    Zhonghua yi xue za zhi, 2014, Nov-11, Volume: 94, Issue:41

    Topics: Aged; Analgesics; Delirium; Dexmedetomidine; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Ca

2014
[Study of prevention and control of delirium in ventilated patients by simulating blockage of circadian rhythm with sedative in intensive care unit].
    Zhonghua wei zhong bing ji jiu yi xue, 2016, Volume: 28, Issue:1

    Topics: Analgesics; Circadian Rhythm; Critical Care; Delirium; Dexmedetomidine; Fentanyl; Humans; Hypnotics

2016
Randomized controlled trial on preemptive analgesia for acute postoperative pain management in children.
    Paediatric anaesthesia, 2016, Volume: 26, Issue:4

    Topics: Acute Pain; Administration, Intravenous; Analgesia; Analgesia, Patient-Controlled; Analgesics, Opioi

2016
[A study of using dexmedetomidine in ventilator bundle treatment in an ICU].
    Zhonghua wei zhong bing ji jiu yi xue, 2015, Volume: 27, Issue:10

    Topics: Arterial Pressure; Blood Pressure; Delirium; Dexmedetomidine; Fentanyl; Humans; Hypnotics and Sedati

2015
Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass.
    Journal of cardiothoracic and vascular anesthesia, 2010, Volume: 24, Issue:4

    Topics: Aged; Aged, 80 and over; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Delirium; Female; Fent

2010
Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass.
    Journal of cardiothoracic and vascular anesthesia, 2010, Volume: 24, Issue:4

    Topics: Aged; Aged, 80 and over; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Delirium; Female; Fent

2010
Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass.
    Journal of cardiothoracic and vascular anesthesia, 2010, Volume: 24, Issue:4

    Topics: Aged; Aged, 80 and over; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Delirium; Female; Fent

2010
Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass.
    Journal of cardiothoracic and vascular anesthesia, 2010, Volume: 24, Issue:4

    Topics: Aged; Aged, 80 and over; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Delirium; Female; Fent

2010
Emergence agitation after cataract surgery in children: a comparison of midazolam, propofol and ketamine.
    Paediatric anaesthesia, 2010, Volume: 20, Issue:9

    Topics: Anesthesia Recovery Period; Anesthesia, General; Anesthetics, Dissociative; Anesthetics, Inhalation;

2010
Early postoperative cognitive dysfunction and postoperative delirium after anaesthesia with various hypnotics: study protocol for a randomised controlled trial--the PINOCCHIO trial.
    Trials, 2011, Jul-06, Volume: 12

    Topics: Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous; Cognition; Cognition Disorde

2011
Postoperative analgesic and behavioral effects of intranasal fentanyl, intravenous morphine, and intramuscular morphine in pediatric patients undergoing bilateral myringotomy and placement of ventilating tubes.
    Anesthesia and analgesia, 2012, Volume: 115, Issue:2

    Topics: Administration, Intranasal; Age Factors; Analgesics, Opioid; Anesthesia Recovery Period; Chest Tubes

2012
The effect of variable-dose diazepam on dreaming and emergence phenomena in 400 cases of ketamine-fentanyl anaesthesia.
    Anaesthesia, 2003, Volume: 58, Issue:9

    Topics: Adjuvants, Anesthesia; Adult; Anesthesia Recovery Period; Anesthetics, Combined; Anesthetics, Dissoc

2003
Opioid rotation from morphine to fentanyl in delirious cancer patients: an open-label trial.
    Journal of pain and symptom management, 2005, Volume: 30, Issue:1

    Topics: Aged; Analgesics, Opioid; Delirium; Dose-Response Relationship, Drug; Drug Administration Schedule;

2005
Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions.
    Minerva anestesiologica, 2006, Volume: 72, Issue:5

    Topics: Adult; Aged; Anesthesia Recovery Period; Anesthesia, Intravenous; Anesthetics, Intravenous; Cranioto

2006
[Patient-controlled epidural analgesia with bupivacaine and fentanyl suppresses postoperative delirium following hepatectomy].
    Masui. The Japanese journal of anesthesiology, 2001, Volume: 50, Issue:7

    Topics: Aged; Analgesia, Epidural; Bupivacaine; Delirium; Female; Fentanyl; Hepatectomy; Humans; Male; Mepiv

2001
Post-operative delirium: predictors and prognosis in elderly orthopedic patients.
    Journal of the American Geriatrics Society, 1992, Volume: 40, Issue:8

    Topics: Age Factors; Aged; Aged, 80 and over; Alcohol Drinking; Analgesia, Epidural; Bupivacaine; Comorbidit

1992
The taming of ketamine.
    Anaesthesia, 1973, Volume: 28, Issue:3

    Topics: Adjuvants, Anesthesia; Adult; Anesthesia, Intravenous; Atropine; Delirium; Diazepam; Dreams; Droperi

1973

Other Studies

38 other studies available for fentanyl and Delirium

ArticleYear
Safety and feasibility of continuous ketamine infusion for analgosedation in medical and cardiac ICU patients who received mechanical ventilation support: A retrospective cohort study.
    PloS one, 2022, Volume: 17, Issue:9

    Topics: Adult; Analgesics; Analgesics, Opioid; Antipsychotic Agents; Delirium; Feasibility Studies; Fentanyl

2022
Prevalence of opioid-induced adverse events across opioids commonly used for analgesic treatment in Japan: a multicenter prospective longitudinal study.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023, Oct-16, Volume: 31, Issue:12

    Topics: Analgesics, Opioid; Cancer Pain; Constipation; Delirium; Fentanyl; Humans; Hydromorphone; Japan; Lon

2023
Comparison of Hydromorphone versus Fentanyl-based Sedation in Extracorporeal Membrane Oxygenation: A Propensity-Matched Analysis.
    Pharmacotherapy, 2020, Volume: 40, Issue:5

    Topics: Adult; Delirium; Extracorporeal Membrane Oxygenation; Female; Fentanyl; Humans; Hydromorphone; Hypno

2020
Prevalence of delirium in intensive care patients and association with sedoanalgesia, severity and mortality.
    Revista gaucha de enfermagem, 2020, Volume: 41

    Topics: Analgesics; Chi-Square Distribution; Clonidine; Critical Care; Cross-Sectional Studies; Delirium; Fe

2020
Sedation practices during high dose rate brachytherapy for children with urogenital and perianal rhabdomyosarcoma.
    Journal of pediatric surgery, 2022, Volume: 57, Issue:7

    Topics: Brachytherapy; Child; Child, Preschool; Delirium; Fentanyl; Humans; Hypnotics and Sedatives; Infant;

2022
A National Multicenter Survey on Management of Pain, Agitation, and Delirium in Intensive Care Units in China.
    Chinese medical journal, 2017, May-20, Volume: 130, Issue:10

    Topics: Delirium; Dexmedetomidine; Fentanyl; Haloperidol; Humans; Hypnotics and Sedatives; Intensive Care Un

2017
Risk Factors of Delirium in Sequential Sedation Patients in Intensive Care Units.
    BioMed research international, 2017, Volume: 2017

    Topics: Adult; Aged; Anesthesia; Conscious Sedation; Critical Care; Delirium; Dexmedetomidine; Female; Fenta

2017
Singapore SPICE: sedation practices in intensive care evaluation in Singapore - a prospective cohort study of the public healthcare system.
    Singapore medical journal, 2020, Volume: 61, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Intravenous; Cohort Studies; Critical Care; Delirium; F

2020
Current practice and perceptions regarding pain, agitation and delirium management in patients receiving venovenous extracorporeal membrane oxygenation.
    Journal of critical care, 2019, Volume: 53

    Topics: Adult; Analgesics, Opioid; Anesthesia; Anesthetics, Intravenous; Attitude of Health Personnel; Benzo

2019
Patterns of opiate, benzodiazepine, and antipsychotic drug dosing in older patients in a medical intensive care unit.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2013, Volume: 22, Issue:5

    Topics: Aged; Analgesics, Opioid; Antipsychotic Agents; Bayes Theorem; Benzodiazepines; Cohort Studies; Conn

2013
Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.
    American journal of respiratory and critical care medicine, 2014, Mar-15, Volume: 189, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Conscious Sedation; Critical Care; Delirium; Female; Fen

2014
Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.
    American journal of respiratory and critical care medicine, 2014, Mar-15, Volume: 189, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Conscious Sedation; Critical Care; Delirium; Female; Fen

2014
Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.
    American journal of respiratory and critical care medicine, 2014, Mar-15, Volume: 189, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Conscious Sedation; Critical Care; Delirium; Female; Fen

2014
Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.
    American journal of respiratory and critical care medicine, 2014, Mar-15, Volume: 189, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Conscious Sedation; Critical Care; Delirium; Female; Fen

2014
Of delirium and sedation.
    American journal of respiratory and critical care medicine, 2014, Mar-15, Volume: 189, Issue:6

    Topics: Conscious Sedation; Delirium; Female; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Unit

2014
Our enlightened understanding of the risks of persistent delirium.
    American journal of respiratory and critical care medicine, 2014, Jun-01, Volume: 189, Issue:11

    Topics: Conscious Sedation; Delirium; Female; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Unit

2014
Only a small subset of sedation-related delirium is innocuous: we cannot let our guard down.
    American journal of respiratory and critical care medicine, 2014, Jun-01, Volume: 189, Issue:11

    Topics: Conscious Sedation; Delirium; Female; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Unit

2014
Reply: Is the glass of delirium half full or half empty?
    American journal of respiratory and critical care medicine, 2014, Jun-01, Volume: 189, Issue:11

    Topics: Conscious Sedation; Delirium; Female; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Unit

2014
Reply: The importance of determining the reason for intensive care unit delirium.
    American journal of respiratory and critical care medicine, 2014, Jun-01, Volume: 189, Issue:11

    Topics: Conscious Sedation; Delirium; Female; Fentanyl; Humans; Hypnotics and Sedatives; Intensive Care Unit

2014
A web-based survey of United Kingdom sedation practice in the intensive care unit.
    Journal of critical care, 2015, Volume: 30, Issue:2

    Topics: Alfentanil; Analgesics, Opioid; Conscious Sedation; Critical Care; Data Collection; Deep Sedation; D

2015
A retrospective comparison of dexmedetomidine versus midazolam for pediatric patients with congenital heart disease requiring postoperative sedation.
    Pediatric cardiology, 2015, Volume: 36, Issue:5

    Topics: Anesthetics, Intravenous; Child, Preschool; Delirium; Dexmedetomidine; Dose-Response Relationship, D

2015
Incidence of Delirium Among Patients Having Cancer Injected With Different Opioids for the First Time.
    The American journal of hospice & palliative care, 2017, Volume: 34, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Delirium; Drug-Related Side Effects

2017
Valproate for agitation in critically ill patients: A retrospective study.
    Journal of critical care, 2017, Volume: 37

    Topics: Adult; Aged; Analgesics, Opioid; Critical Illness; Delirium; Dexmedetomidine; Female; Fentanyl; GABA

2017
A case of infant delirium in the neonatal intensive care unit.
    Journal of neonatal-perinatal medicine, 2017, Volume: 10, Issue:1

    Topics: Amines; Analgesics, Opioid; Anti-Anxiety Agents; Cardiac Catheterization; Cyclohexanecarboxylic Acid

2017
Clinical observations of postoperative delirium after surgery for oral carcinoma.
    International journal of oral and maxillofacial surgery, 2009, Volume: 38, Issue:6

    Topics: Age Factors; Analgesia, Patient-Controlled; Analgesics, Opioid; Carcinoma, Squamous Cell; Delirium;

2009
[Incidence of intensive care unit delirium].
    Ugeskrift for laeger, 2009, Nov-30, Volume: 171, Issue:49

    Topics: Adult; Aged; Analgesics, Opioid; Confusion; Critical Care; Delirium; Denmark; Fentanyl; Humans; Hypn

2009
Dexmedetomidine in cardiac surgery patients who fail extubation and present with a delirium state.
    The heart surgery forum, 2011, Volume: 14, Issue:2

    Topics: Adrenergic alpha-2 Receptor Agonists; Anti-Anxiety Agents; Cardiac Surgical Procedures; Continuous P

2011
Factors predisposing to coma and delirium: fentanyl and midazolam exposure; CYP3A5, ABCB1, and ABCG2 genetic polymorphisms; and inflammatory factors.
    Critical care medicine, 2013, Volume: 41, Issue:4

    Topics: ATP Binding Cassette Transporter, Subfamily B; ATP Binding Cassette Transporter, Subfamily B, Member

2013
Agitated terminal delirium and association with partial opioid substitution and hydration.
    Journal of palliative medicine, 2003, Volume: 6, Issue:4

    Topics: Analgesics, Opioid; Delirium; Drug Administration Schedule; Female; Fentanyl; Humans; Japan; Male; M

2003
Delirium as detected by the CAM-ICU predicts restraint use among mechanically ventilated medical patients.
    Critical care medicine, 2005, Volume: 33, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Delirium; Female; Fentanyl; Hospital Mortality; Humans; Hypnotics a

2005
Delirium as detected by the CAM-ICU predicts restraint use among mechanically ventilated medical patients.
    Critical care medicine, 2005, Volume: 33, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Delirium; Female; Fentanyl; Hospital Mortality; Humans; Hypnotics a

2005
Delirium as detected by the CAM-ICU predicts restraint use among mechanically ventilated medical patients.
    Critical care medicine, 2005, Volume: 33, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Delirium; Female; Fentanyl; Hospital Mortality; Humans; Hypnotics a

2005
Delirium as detected by the CAM-ICU predicts restraint use among mechanically ventilated medical patients.
    Critical care medicine, 2005, Volume: 33, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Delirium; Female; Fentanyl; Hospital Mortality; Humans; Hypnotics a

2005
A delirious patient with opioid intoxication after chewing a fentanyl patch.
    Journal of the American Geriatrics Society, 2006, Volume: 54, Issue:8

    Topics: Aged, 80 and over; Analgesics, Opioid; Delirium; Fentanyl; Humans; Male; Mastication; Risk Factors

2006
[Physostigmine reversal of central anticholinergic syndrome induced by midazolam/fentanyl, benzoctamine/buprenorphine and etomidate/carticaine or by atropine/promethazine/pethidine for premedication? (author's transl)].
    Der Anaesthesist, 1982, Volume: 31, Issue:1

    Topics: Adult; Aged; Anthracenes; Atropine; Benzodiazepines; Buprenorphine; Carticaine; Coma; Delirium; Etom

1982
Fentanyl-associated delirium in man.
    Anesthesiology, 1980, Volume: 53, Issue:2

    Topics: Adult; Delirium; Fentanyl; Humans; Male; Physostigmine

1980
Acute toxic delirium: an uncommon reaction to transdermal fentanyl.
    Anesthesiology, 1995, Volume: 83, Issue:4

    Topics: Acute Disease; Administration, Cutaneous; Adolescent; Analgesics, Opioid; Delirium; Fentanyl; Humans

1995
After transdermal fentanyl: acute toxic delirium or central anticholinergic syndrome?
    Anesthesiology, 1996, Volume: 85, Issue:2

    Topics: Acute Disease; Administration, Cutaneous; Adolescent; Analgesics, Opioid; Cholinergic Antagonists; C

1996
Abuse of topical analgesic.
    The American journal of psychiatry, 2001, Volume: 158, Issue:4

    Topics: Administration, Topical; Alcoholism; Analgesics, Non-Narcotic; Delirium; Fentanyl; Humans; Infusions

2001
Reversible delirium during opiod switching from transdermal fentanyl to methadone.
    Journal of pain and symptom management, 2001, Volume: 21, Issue:3

    Topics: Administration, Cutaneous; Analgesics, Opioid; Delirium; Fentanyl; Humans; Male; Methadone; Middle A

2001
Re: Reversible delirium during opioid switching.
    Journal of pain and symptom management, 2001, Volume: 22, Issue:2

    Topics: Analgesics, Opioid; Delirium; Fentanyl; Humans; Methadone

2001
Intensive care unit syndrome/delirium is associated with anemia, drug therapy and duration of ventilation treatment.
    Acta anaesthesiologica Scandinavica, 2002, Volume: 46, Issue:6

    Topics: Adult; Age Factors; Aged; Aged, 80 and over; Analgesics, Opioid; Anemia; Delirium; Female; Fentanyl;

2002
Acute toxic delirium in a patient using transdermal fentanyl.
    Anesthesia and analgesia, 1992, Volume: 75, Issue:6

    Topics: Acute Disease; Aged; Delirium; Drug Delivery Systems; Female; Fentanyl; Humans

1992
Acute postoperative delirium and extrapyramidal signs in a previously healthy parturient.
    Anesthesia and analgesia, 1988, Volume: 67, Issue:3

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Cesarean Section; Delirium; Dyskinesia, Drug-I

1988