The Complex Interplay Between Delirium, Sepsis and Sedation
Overview
Authors
Affiliations
Critically ill patients requiring mechanical ventilation frequently suffer from intensive care unit delirium, a syndrome associated with numerous poor measured outcomes. The relationship between delirium, sepsis, and sedation is complex. A discussion of the recent study ('Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS [maximizing efficacy of targeted sedation and reducing neurological dysfunction] randomized controlled trial') by Pandharipande and colleagues is presented in this commentary.
Socio-Ecologic Perspective: Barriers Complicating Post-Intensive Care Syndrome Mitigation.
Zbar R J Patient Exp. 2022; 9:23743735211074434.
PMID: 35155747 PMC: 8832571. DOI: 10.1177/23743735211074434.
Rosenblatt K, Walker K, Goodson C, Olson E, Maher D, Brown 4th C J Intensive Care Med. 2019; 35(12):1453-1464.
PMID: 30760173 PMC: 6692246. DOI: 10.1177/0885066619828293.
Preventive Intervention to Prevent Delirium in Patients Hospitalized in Intensive Care Unit.
Ghaeli P, Shahhatami F, Mojtahed Zade M, Mohammadi M, Arbabi M Iran J Psychiatry. 2018; 13(2):142-147.
PMID: 29997660 PMC: 6037578.
Tsuruta R, Fujita M Acute Med Surg. 2018; 5(3):207-212.
PMID: 29988658 PMC: 6028798. DOI: 10.1002/ams2.337.
Deutschman C Crit Care Med. 2018; 46(7):1205-1206.
PMID: 29912109 PMC: 8011661. DOI: 10.1097/CCM.0000000000003174.