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+With otolaryngeal cancer receiving surgery with general anesthesia\r\n* Please note we are purposefully including patients with higher predisposition to delirium as we are investigating potential preventive strategies for this diagnosis of multiple etiologies; patients at higher risk of delirium (e.g., advanced age, chronic hypertension) will be included in our study; additionally, other common risk factors that exist in this patient population (e.g., alcohol or nicotine use) are thought to contribute to delirium postoperatively
+Part : patients will be excluded if () have clinical evidence of cognitive failure as evidenced by Memorial Delirium Assessment Scale score of ?  at baseline
+Delirium (i.e., score > on the Memorial Delirium Assessment Scale; range -).
+Delirium (i.e. Memorial Delirium Rating Scale > )
+PATIENTS: Hyperactive or mixed delirium with RASS >=  in the past  hours (h)
+Memorial Delirium Rating Scale > 
+Delirium (i.e., Memorial Delirium Rating Scale > )
+Delirium (i.e. memorial delirium rating scale > )
+Cognitive impairment with a Memorial Delirium Assessment Scale (MDAS) score of  or higher or diagnosed with neurocognitive impairment by the treating SCC physician
+Presence of relatively intact cognition defined by normal memorial delirium assessment scale (< /); sign written informed consent
+Memorial Delirium Assessment Scale > /
+Patients must have no clinical evidence of cognitive impairment as determined by the palliative care physician (Memorial Delirium Assessment Score >= )
+Hyperactive/mixed delirium with RASS >=  in the last  hours
+At the patients bedside at least  hours each day during patient delirium episode
+Delirium (i.e. memorial delirium rating scale > )
+Delirium (i.e. Memorial delirium rating scale > )
+Delirium (i.e. memorial delirium rating scale > )
+Memorial delirium assessment scale =< 
+Have no clinical evidence of cognitive failure as evidenced by Memorial Delirium Assessment Scale (MDAS) score of =<  at baseline
+Memorial delirium assessment scale =< 
+Altered cognition (as assessed routinely in the Supportive Care Clinic using the Memorial Delirium Assessment Scale [MDAS], with a score of >= /)
+Patients with normal cognitive status (Memorial Delirium Assessment Scale [MDAS] =< /) who are able to understand the nature and purpose of the study and have the ability to complete the consent process