SYMPTOMATIC DELIRIUM OF EARLY POSTOPERATIVE PERIOD IN ONCOSURGERY
Рerioperative medicine is a promising branch of modern science and clinical practice. Its objective is to improve surgical outcomes by preventing possible complications. Perioperative changes in the structural and functional state of the central nervous system play an important role both in assessing the results of treatment immediately after the operation and in the long-term period, since the development of any of the clinical types of postoperative cerebral dysfunction has severe medical, social and economic consequences. Symptomatic delirium of the early postoperative period has a high prevalence in operations for malignant neoplasms, while some of the risk factors for the development of this complication are potentially removable. The possibility of their elimination should be studied, which will improve the quality of medical care. The average incidence of delirium without taking into account the profile of surgery in patients over 65 years of age is 47%. Pain syndrome is often mentioned in the literature as a reliable risk factor for the development of symptomatic delirium in the early postoperative period. Several studies have shown that depression is also a risk factor for postoperative delirium. In many countries, there is a "pain medicine specialist" direction. The competence of such a specialist, in addition to prescribing drugs, also includes the implementation of non-drug measures to achieve pain control, especially in patients with oncological diseases, which is a promising direction for implementation in perioperative practice. Prevention of symptomatic delirium in the early postoperative period should be based on reliable and simple predictive methods.