Postop Delirium versus Toxic Metabolic Encephalopathy
I have a case where the patient developed sudden “postoperative delirium” after an orthopedic surgery. Prior to surgery the patient was alert and oriented.
The provider documents the postop delirium is due to being kept awake very late last night for surgery as well as the anesthesia she received. The patient is treated with one dose of Haldol. By the next day, the delirium is resolved. Patient is alert and oriented again. Brain CT, EKG and other work up unremarkable.
My question: could this be toxic metabolic encephalopathy or is this postoperative delirium (as documented)?
Thank you in advance for guidance.