title: Neuroblastoma and pediatric delirium: a case series.
abstract: Delirium occurs frequently in critically ill children, and children with neuroblastoma may be at particular risk. Early diagnosis and treatment may improve short- and long-term outcomes. In this case series, we present four critically ill children with neuroblastoma who were diagnosed with delirium in the post-operative period. In all four patients, the diagnosis of delirium facilitated targeted intervention and improvement. Heightened awareness by pediatric oncologists, surgeons, and intensivists may lead to earlier diagnosis and improvement in clinical outcomes.
authors.affiliation: Division of Pediatric Critical Care Medicine, Weill Cornell Medical College, New York, New York.
authors.forename: Chani
authors.initials: C
authors.lastname: Traube
authors.forename: Julie
authors.initials: J
authors.lastname: Augenstein
authors.forename: Bruce
authors.initials: B
authors.lastname: Greenwald
authors.forename: Michael
authors.initials: M
authors.lastname: LaQuaglia
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Silver
mesh_terms: D001569:Benzodiazepines / Q000627:therapeutic use; D002675:Child, Preschool; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D003693:Delirium / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D003987:Dibenzothiazepines / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009294:Narcotics / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D009447:Neuroblastoma / Q000523:psychology* / Q000556:secondary; D010149:Postoperative Pain / Q000188:drug therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D000069348:Quetiapine Fumarate; D012307:Risk Factors; D012983:Soft Tissue Neoplasms / Q000523:psychology* / Q000556:secondary; D058495:Sotos Syndrome / Q000150:complications
chemical_list: D018680:Cholinergic Antagonists; D003987:Dibenzothiazepines; D009294:Narcotics; D001569:Benzodiazepines; D000069348:Quetiapine Fumarate
keywords: critical care; delirium; neuroblastoma; pediatrics