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The aim of this study was to understand present strategies for delirium screening and therapy in German Post-Anesthesia-Caring-Units (PACU). We designed a German-wide web-based questionnaire which was sent to 922 chairmen of anesthesiologic departments and to 726 anesthetists working in ambulatory surgery. The response rate was 30% for hospital anesthesiologists. 10% (95%-confidence interval: 8\u201312) of the anesthesiologists applied a standardised screening for delirium. Even though not on a regular basis, in 44% (41\u201347) of the hospitals, a recommended and validated screening was used, the Nursing Delirium Screening Scale (NuDesc) or the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). If delirium was likely to occur, 46% (43\u201350) of the patients were examined using a delirium tool. 20% (17\u201323) of the patients were screened in intensive care units. For the treatment of delirium, alpha-2-agonists (83%, 80\u201385) were used most frequently for vegetative symptoms, benzodiazepines for anxiety in 71% (68\u201374), typical neuroleptics in 77% (71\u201382%) of patients with psychotic symptoms and in 20% (15\u201325) in patients with hypoactive delirium. 45% (39\u201351) of the respondents suggested no therapy for this entity. Monitoring of delirium is not established as a standard procedure in German PACUs. However, symptom-oriented therapy for postoperative delirium corresponds with current guidelines.<\/jats:p>","DOI":"10.1007\/s10877-020-00516-9","type":"journal-article","created":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T14:04:28Z","timestamp":1589033068000},"page":"599-605","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Implementation of strategies to prevent and treat postoperative delirium in the post-anesthesia caring unit"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3987-6272","authenticated-orcid":false,"given":"Thomas","family":"Saller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1556-408X","authenticated-orcid":false,"given":"Klaus F.","family":"Hofmann-Kiefer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Saller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Zwissler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7281-2137","authenticated-orcid":false,"given":"Vera","family":"von Dossow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,9]]},"reference":[{"key":"516_CR1","first-page":"S486","volume":"50","author":"Deutsche Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin und Berufsverband Deutscher An\u00e4sthesisten","year":"2009","unstructured":"Deutsche Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin und Berufsverband Deutscher An\u00e4sthesisten (2009) \u00dcberwachung nach An\u00e4sthesieverfahren. 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Written informed consent was waived by the ethics committee. However, every participant clearly stated her or his will to participate by activating a checkbox in the online tool.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}