Background and Goal of the Study:
There is limited data about emergence delirium in the Post Anesthesia Care Unit (PACU). Recognition of delirium in the PACU is very important in order to avoid further worse outcomes. We aimed to examine the frequency of emergence delirium among ASA I-III patients following anesthesia.

Materials and Methods: 
Ethics committe approval (KA17/227) 
Retrospective cohort
Statistics: Multivariate logistic regression
Setting: Postoperative recovery area
Number of patients included tothe study: 3811
Exclusion criteria: Extubation outside the operating theatre, psychiatric disorders, non-Turkish speaking or deaf people, severe dementia, neuromuscular disorders.
Inhalation anesthetic used: Sevoflurane
The Confussion Assessment Method (CAM) was used to evaluate delirium signs during PACU stay. Multivariate logistic regression was used to assess potential, risk factors for delirium during PACU stay including age, ASA status, surgical type, benzodiazepin premedication, long surgery, and surgical type.


Results and Discussion: During the analysed period 5200 patients were operated. With the exclusion of child patients, missed forms and local anesthesia patients 3811 patients were included to the study. Delirium in general anesthesia patients was 43/2976 (1.4 %). Delirium in regional anesthesia with sedation patients was (4/788) (0.5 %). Delirium was observed 

Conclusion(s): Anesthesia nurses and technicians can recognize delirium with CAM-ICU test at PACU. But we recognized that hypoactive delirium was not met by the nurses; and may be because of this reason, delirium incidence was lower than the general postoperative delirium incidence. 


05 / Recognition of early postoperative delirium in the PACU with confusion assessment method by nurses during routine daily practice