Delirium and delirium management in critically ill patients

Medizinische Klinik, Intensivmedizin und Notfallmedizin
A Kersten, S Reith

Abstract

Delirium in critically ill patients is a common entity in the intensive care unit (ICU) and is an expression of the cerebral organ dysfunction of the patient. The hallmark signs are disturbed consciousness and cognition in combination with inattentiveness and alterations in perception, which are manifested within a time interval of hours to days during treatment on the ICU. Delirium has been shown to have negative effects on patient short-term and long-term outcome parameters and increases morbidity and mortality. Despite its significance in many cases delirium remains inadequately diagnosed during routine treatment by ICU personnel. There are two validated and easily applicable scales for the standardized diagnosis of delirium: the confusion assessment method for the ICU (CAM-ICU) and the intensive care delirium screening checklist (ICDSC). These are simple to apply by medical as well as non-medical personnel. The therapy of delirium is mostly determined by non-pharmacological measures aiming at early identification, reorientation and mobilization of the patient, improving cerebral activity and establishing adequate wake-sleep cycles. There is only sparse evidence for pharmacological treatment of delirium; however, the choice ...Continue Reading

References

Mar 4, 1999·The New England Journal of Medicine·S K InouyeL M Cooney
May 18, 2000·The New England Journal of Medicine·J P KressJ B Hall
Jun 30, 2001·Intensive Care Medicine·N BergeronY Skrobik
Apr 15, 2004·JAMA : the Journal of the American Medical Association·E Wesley ElyRobert S Dittus
Feb 17, 2005·Age and Ageing·Naji TabetRobert Howard
Sep 27, 2005·Journal of the American Geriatrics Society·Kees J KalisvaartWillem A van Gool
Mar 23, 2006·Journal of the American Geriatrics Society·Josh F PetersonE Wesley Ely
Oct 14, 2006·Journal of the American Geriatrics Society·Sharon K InouyeUNKNOWN HELP Dissemination Project
Nov 15, 2006·Intensive Care Medicine·Sébastien OuimetYoanna Skrobik
Feb 24, 2007·Critical Care : the Official Journal of the Critical Care Forum·Timothy D GirardE Wesley Ely
Oct 16, 2007·Anaesthesia and Intensive Care·U Prakanrattana, S Prapaitrakool
Dec 13, 2007·JAMA : the Journal of the American Medical Association·Pratik P PandharipandeE Wesley Ely
Feb 4, 2009·JAMA : the Journal of the American Medical Association·Richard R RikerUNKNOWN SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group
Apr 8, 2009·Intensive Care Medicine·Peter E SpronkJohannes H Rommes
Apr 23, 2009·Critical Care Medicine·Maarten M J van EijkArjen J C Slooter
May 21, 2009·Critical Care : the Official Journal of the Critical Care Forum·Michael C ReadeRinaldo Bellomo
Sep 12, 2009·American Journal of Respiratory and Critical Care Medicine·Margaret A PisaniPeter H Van Ness
Sep 15, 2010·Critical Care Medicine·Yahya ShehabiUNKNOWN SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group
Nov 26, 2010·Critical Care : the Official Journal of the Critical Care Forum·Jorge I SalluhUNKNOWN Delirium Epidemiology in Critical Care Study Group
Jan 25, 2012·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Dustin M Hipp, E Wesley Ely
Mar 23, 2012·JAMA : the Journal of the American Medical Association·Stephan M JakobUNKNOWN Dexmedetomidine for Long-Term Sedation Investigators
Dec 28, 2012·Critical Care Medicine·Juliana BarrUNKNOWN American College of Critical Care Medicine
Oct 4, 2013·The New England Journal of Medicine·P P PandharipandeUNKNOWN BRAIN-ICU Study Investigators
Jan 31, 2014·The New England Journal of Medicine·Michael C Reade, Simon Finfer
Feb 3, 2015·Critical Care Nurse·Ryan M RivosecchiSandra L Kane-Gill
Jun 5, 2015·BMJ : British Medical Journal·Jorge I F SalluhRobert D Stevens

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