I have used resperidol quite a few times in patients suffering from post cardiac surgery agitation or delirium in a dose of 0,5 til 1 mg x 1 and 0,5 mg p.n that was very effective. Benzodiazepines were not very effective. One should always exclude other causes of agitation and delirium. Many cardiothoracic departments lack having psychiatry specialists and neurologist as part of the heart team. Having them as part of the team may help with prompt diagnose, treatment, research and experience in the fields.
Best regards,
Khalil Ahmad, Aarhus University Hospital, Skejby, Denmark
If it is due to post
op psychosis definitely they are helpful. We regularly use these medications.
There is a good clinical practice guide here:
http://geriatricscareonline.org/ProductAbstract/american-geriatrics-society-clinical-practice-guideline-for-postoperative-delirium-in-older-adults/CL018
In postoperative delirium in cardiac surgery, in patients with previous history of agitation or excitability, we have routinely used psychiatrist-recommended Seroquil safely and successfully at the Mayo Clinic In Rochester MN as well as later in my practice too.
Low dose of nocturnal agonist of α2-adrenergic receptor Dexmedetomidine in critically ill adults associated with reduced delirium during ICU / Skrobik et al. Am J Respir Crit Care Med 2018
https://www.atsjournals.org/doi/abs/10.1164/rccm.201710-1995OC
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