In this trial of 114 elderly patients (>age 65) undergoing spinal anesthesia for hip fracture repair, they were randomized to heavy or light sedation (with propofol). They found those in the light sedation group were significantly less likely to experience post-operative delirium (19% vs 40%) (abstract). This is a feasible way (if working closely with the surgeon and anesthesiologist) to reduce the risk of post-op delirium in high risk elders.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.