%0 Case Reports %T How a single perioperative delirium case can make the difference. %A Juarez-Sanchez A %A Heras Hernando V %A Brunete Jimenez T %A Molina Mendoza CR %A Arnal Velasco D %A Fernández Téllez L %J Rev Esp Anestesiol Reanim (Engl Ed) %V 71 %N 7 %D 2024 Aug-Sep 12 %M 38615714 暂无%R 10.1016/j.redare.2024.04.003 %X This report describes how postoperative delirium in an elderly man during COVID-19 pandemic led to a serious event involving a central venous catheter. Delirium is a common cause of perioperative morbidity and mortality, and is characterised by an alteration in consciousness and perception and a reduced ability to focus, sustain or shift attention. The event was analysed by a multidisciplinary committee which developed a risk stratification delirium protocol in order to prevent similar events in the future.